Individual
GARY M WITTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1515 UNIVERSITY BLVD S, MOBILE, AL 36609-2958
(251) 343-9600
(251) 380-3328
Mailing address
PO BOX 384, DAUPHIN ISLAND, AL 36528-0384
(251) 861-3206
(251) 380-3317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH473
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH473
PHYSICAL THERAPIST LICENSE
AL
Enumeration date
06/25/2008
Last updated
06/25/2008
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