Individual
MS. IRMA H M WITBREUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10051 5TH ST N, ST PETERSBURG, FL 33702-2289
(727) 527-5272
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 3619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT3619
LICENSE
—
01
—
Z04HP
BCBS OF FLORIDA
—
Enumeration date
03/02/2007
Last updated
12/04/2025
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