Individual
PATRICIA WITCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
9906 E 200 S, ZIONSVILLE, IN 46077-9702
(317) 590-6496
Mailing address
9906 E 200 S, ZIONSVILLE, IN 46077-9702
(317) 778-2127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001107A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300063012
—
IN
Enumeration date
01/21/2025
Last updated
01/21/2025
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