Individual
HEATHER WITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1612 N 37TH ST, SUPERIOR, WI 54880-5404
(715) 392-5990
Mailing address
1612 N 37TH ST, SUPERIOR, WI 54880-5404
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5497-26
WI
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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