Individual
MELISSA JANE WITTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.O.T.
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 352-5644
Mailing address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 352-5644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01797
IA
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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