Most Relevant Information
Provider Data
| NPI Number: | 1003211525 |
| Provider Name: | HEATHER WITT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT.015086 |
Most Important Dates
| Enumeration Date: | 10/27/2014 |
| Last Updated: | 10/27/2014 |
Provider Practice Location
6465 E BROAD ST
COLUMBUS
OH
432131576
Practice Location Phone/Fax
| Phone: | 6148641089 |
| Fax: | 6148641138 |
Provider Mailing Location
6465 E BROAD ST
COLUMBUS
OH
432131576
Provider Mailing Phone/Fax
| Phone: | 6148641089 |
| Fax: | 6148641138 |