Individual
HEATHER JEAN-WITTMAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1101 E SOUTH RIVER ST, APPLETON, WI 54915-2223
(920) 830-9911
(920) 997-8673
Mailing address
4321 SPRINGCREST DR, KAUKAUNA, WI 54130-4331
(920) 470-2034
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2055-027
WI
Other
Enumeration date
11/06/2008
Last updated
09/19/2018
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