Individual
MS. ANGELA KAY WITTERSTAETTER
Active
Individual
MS. ANGELA KAY WITTERSTAETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.009970
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328338
ANTHEM
OH
05
—
2610900
—
OH
01
—
9400596
PHCS
OH
01
—
P00324335
MEDICARE RAILROAD
OH
Enumeration date
09/26/2005
Last updated
11/12/2007
Update your record
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