Individual
MATTHEW J WITKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
8668 DAY DR, PARMA, OH 44129-5692
(440) 340-4000
Mailing address
35605 BLANCH AVE, EASTLAKE, OH 44095-3105
(941) 929-6370
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007308
OH
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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