Individual
SARAH RENEE WITTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, CHT
Contact information
Practice address
123 HOSPITAL DR STE 1008, WATERTOWN, WI 53098-3320
(920) 206-6500
(920) 261-4013
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(623) 434-2115
(623) 544-5531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7006-26
WI
225XH1200X
Hand Occupational Therapist
7006-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194454
—
WI
Enumeration date
10/23/2018
Last updated
10/07/2025
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