| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANGELA J WITUCKI | 1477503514 | 2024-10-13 |
Angela S Witucki OT [F] graduated in 1999 and primarily specializes in Occupational Therapy.
Angela J Witucki is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477503514. Registration indicates Angela J Witucki is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| PECOS ID | 6204871593 |
| Entity Type | Individual |
| Provider Name | Angela J Witucki O.T. |
| Practice Office Address | 9988 HIBERT ST STE 208 SAN DIEGO, CA US |
| Practice Office Telephone | 8582277229 |
| Practice Office Fax | 8582214177 |
| Mailing Address | 1965 5TH AVE STE 170 SAN DIEGO, CA 921012300 US |
| Business Telephone | 6198516072 |
| Business Fax | 6192412992 |
| Code | Practice | License No State |
|---|---|---|
| 225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | OT 3375
CA |