Individual
ROSE WITTERSHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4403 HOSPITAL ST, PASCAGOULA, MS 39581-5335
(626) 803-1486
Mailing address
2844 TRACELAND DR, TUPELO, MS 38801-4200
(662) 680-3148
(662) 620-9890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2863
MS
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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