Individual
EMMA ELIZABETH WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1120 W COMMERCE DR STE 100, FESTUS, MO 63028-2392
(636) 224-7511
Mailing address
311 PARK DR, FESTUS, MO 63028-1636
(636) 543-0628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019027414
MO
Other
Enumeration date
08/11/2022
Last updated
09/20/2022
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