Individual
REBECCA WITTKOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 POQUONNOCK RD, GROTON, CT 06340-4620
(860) 446-9960
Mailing address
105 BRIAR LN, NORWICH, CT 06360-7415
(920) 948-1714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010081
CT
Other
Enumeration date
04/14/2014
Last updated
10/29/2016
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