| NPI | 1639693013 |
|---|---|
| Other Name | KRIS WITTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 26347) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 5951) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |