Individual
MARY BETH WITTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3774 STATE ROUTE 31, APT 1508, LIVERPOOL, NY 13090
(315) 935-5780
Mailing address
3774 RT 31, APT 1508, LIVERPOOL, NY 13090
(315) 935-5780
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
002309
NY
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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