Individual
GABRIEL ALLEN WITTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
324 E PIONEER, PUYALLUP, WA 98372-3264
(253) 377-6285
Mailing address
324 E PIONEER, PUYALLUP, WA 98372-3264
(253) 377-6285
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
60913870
WA
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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