Individual
ERIC O WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1026 MAPLE AVE, LISLE, IL 60532-2329
(630) 434-0271
(630) 434-0938
Mailing address
6040 ROUTE 53, SUITE A, LISLE, IL 60532-3392
(630) 434-0271
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017485
IL
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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