Individual
JESSICA WITTBRODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4920 ENCORE DR, APT 11, INDIANAPOLIS, IN 46237-2593
(317) 494-5097
Mailing address
4920 ENCORE DR, APT 11, INDIANAPOLIS, IN 46237-2593
(317) 494-5097
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
462002333A
IN
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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