Individual
MELISSA J GITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1041 E CAPITOL DR, APPLETON, WI 54911-1436
(920) 843-0505
Mailing address
1041 E CAPITOL DR, APPLETON, WI 54911-1436
(920) 843-0505
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
472-27
WI
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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