Individual
KRISTIN P WITTGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2753 THOMASHIRE TRCE, MARIETTA, GA 30066-4783
(678) 234-9761
Mailing address
2753 THOMASHIRE TRCE, MARIETTA, GA 30066-4783
(678) 234-9761
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
002916
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000916418A
—
GA
Enumeration date
11/30/2006
Last updated
08/11/2020
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