Mr Sean P Witte, OTR | |
1506 N Central Ave, Duluth, MN 55807-1358 | |
(218) 343-1904 | |
Not Available |
Full Name | Mr Sean P Witte |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1506 N Central Ave, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023252046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2377-26 (Wisconsin) | Primary |
Provider Name | Caring Edge Op Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1700399359 PECOS PAC ID: 6406114131 Enrollment ID: O20180802001325 |
Mailing Address | Practice Location Address |
---|---|
Mr Sean P Witte, OTR 1506 N Central Ave, Duluth, MN 55807-1358 Ph: (218) 343-1904 | Mr Sean P Witte, OTR 1506 N Central Ave, Duluth, MN 55807-1358 Ph: (218) 343-1904 |
Jamie R Smith, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 502 E 2nd St, Duluth, MN 55805 Phone: 218-727-8762 | |
Mrs. Mindy Joy Delacey, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 E 2nd St, Essentia Health Polinsky Medical Rehabilitation Center, Duluth, MN 55805 Phone: 218-786-5360 | |
Jenna Maki, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4000 | |
Charlene Schneider Dillon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 E 2nd St, Duluth, MN 55805 Phone: 218-786-5360 | |
Melissa Grace Julian, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-4000 | |
Joy Zamzow, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 E Saint Marie St, Duluth, MN 55803 Phone: 218-481-7603 Fax: 218-481-7601 |