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General NPI Number Information
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NPI Number | 1467448308
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Entity Type | Individual
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Provider Name | ANGELA KAY WITTERSTAETTER PT
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Gender | Female
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 11/12/2007
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Provider Practice Location Address
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Address Line | 8737 UNION CENTRE BLVD
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City | WEST CHESTER
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State | OH
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Zip | 45069-4878
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Country | US
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Telephone | 513-645-2246
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Fax | 513-645-2231
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Provider Business Mailing Address
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Address Line | 4701 CREEK RD SUITE 110
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City | CINCINNATI
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State | OH
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Zip | 45242-8398
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Country | US
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Telephone | 513-554-8080
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Fax | 513-588-2479
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT.009970
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License Number State | OH
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