Individual
MR. JEANNE T WITTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
HC 63 BOX 2580, ROMNEY, WV 26757-9718
(304) 822-7527
Mailing address
11013 RAMBLEWOOD DR NW, CUMBERLAND, MD 21502-4902
(301) 724-8849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA 1753
MD
225200000X
Physical Therapy Assistant
Primary
PTA 254
WV
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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