Individual
STEPHANIE LYNN WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 W HONADEL BLVD, OAK CREEK, WI 53154-2650
(414) 435-2005
Mailing address
7446 W BURDICK AVE, MILWAUKEE, WI 53219-3938
(920) 323-7811
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5607-27
WI
Other
Enumeration date
06/28/2019
Last updated
10/02/2023
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