Individual
BLAKE WITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3550 COLLEGE AVE, ALTON, IL 62002-5008
(618) 462-1133
(618) 462-3736
Mailing address
3550 COLLEGE AVE, ALTON, IL 62002-5008
(618) 462-1133
(618) 462-3736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.029217
IL
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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