Individual
JENNY WITTEVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5055 S LEMAY AVE, FORT COLLINS, CO 80525-9401
(970) 230-0880
Mailing address
5055 S LEMAY AVE, FORT COLLINS, CO 80525-9401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0001234
CO
Other
Enumeration date
08/08/2013
Last updated
04/28/2014
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