Individual
DEBRA WITTMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
400 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2028
(618) 498-8480
(618) 498-8493
Mailing address
PO BOX 124, JERSEYVILLE, IL 62052-0124
(618) 498-8480
(618) 498-8493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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