Individual
ERICA WITKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6N 370 CRESCENT LANE, SAINT CHARLES, IL 60175
(845) 699-4495
Mailing address
6N 370 CRESCENT LANE, SAINT CHARLES, IL 60175-1092
(845) 699-4495
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
03/26/2016
Last updated
08/06/2016
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