Individual
ARA WITTWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
51 ODD RD, POQUOSON, VA 23662-2050
(757) 868-7123
Mailing address
475 W OCEAN VIEW AVE, NORFOLK, VA 23503-1413
(715) 558-3994
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001916
VA
2255A2300X
Athletic Trainer
AT . 003510
OH
Other
Enumeration date
05/19/2012
Last updated
10/29/2013
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