Individual
AMY L WITKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
354 MAIN ST, FOREST CITY, PA 18421-1418
(570) 785-2018
Mailing address
1001 RUSHBROOK RD, JERMYN, PA 18433-3103
(570) 254-6931
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007311L
PA
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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