Individual
CARISSA NOELLE WITTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
4700 LEBANON RD STE D2, MINT HILL, NC 28227-8265
(704) 366-7723
Mailing address
580 EARLEY ST, KANNAPOLIS, NC 28083-9207
(571) 239-3610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21321
NC
2255A2300X
Athletic Trainer
LAT-4668
NC
Other
Enumeration date
03/29/2018
Last updated
12/04/2025
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