Individual
MADELINE JUNE WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
104 DUDLEY DR, SIKESTON, MO 63801-5032
(573) 380-1953
Mailing address
104 DUDLEY DR, SIKESTON, MO 63801-5032
(573) 380-1953
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1903
AR
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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