Individual
JESSICA MORGAN WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
245 NORTH ST, BRISTOL, VA 24201-3274
(276) 669-4711
Mailing address
3066 UPPER COPPER CREEK RD, CASTLEWOOD, VA 24224-6275
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002111
VA
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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