Individual
LAUREN WITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11205 KNOTT AVE STE E, CYPRESS, CA 90630-5489
(714) 893-7399
Mailing address
23511 ALISO CREEK RD APT 173, ALISO VIEJO, CA 92656-1339
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
299454
CA
Other
Enumeration date
09/14/2020
Last updated
11/05/2020
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