Individual
DONNA LYNN WITTEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S. P.T.
Contact information
Practice address
17817 DAVENPORT RD, SUITE 230, DALLAS, TX 75252-5871
(972) 732-7797
Mailing address
6211 POST OAK TER, FORT WORTH, TX 76112-1708
(817) 457-5689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
146142
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T2075
BCBS ID NUMBER
TX
Enumeration date
03/16/2006
Last updated
07/08/2007
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