Individual
JELENA WITTWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8003
(541) 269-8398
Mailing address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8003
(541) 269-8398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
378356
OR
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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