Individual
MISS JESSICA LYNN WITTEBORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3141 ROBINSON RUN ROAD, MCDONALD, PA 15057
(412) 780-7203
Mailing address
3141 ROBINSON RUN RD, MC DONALD, PA 15057-2597
(412) 780-7203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006796
PA
Other
Enumeration date
05/23/2012
Last updated
05/24/2018
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