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Individual

ANNETTE WITTE-FUCHS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, OT/L

Contact information

Practice address
5899 WHITFIELD AVE STE 203, SARASOTA, FL 34243-6153
(941) 360-0200
Mailing address
5899 WHITFIELD AVE STE 203, SARASOTA, FL 34243-6153

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
225XP0200X
Pediatric Occupational Therapist
Primary
OT17609
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13829237
CAQH
FL
Enumeration date
12/31/2018
Last updated
12/31/2018
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