| Doctor Name: | MRS. IRENE DAVILA-WITTROCK |
| NPI Number: | 1013269828 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT00002029 |
| Business Practice Address: | 33330 8th Ave S Federal Way, WA - 980036325 |
| Business Phone Number: | 2539452086 |
| Business Fax Number: | 2539452177 |
| Mailing Address: | 33330 8th Avenue South, FEDERAL WAY |
| State: | WA |
| Postal Code: | 98003 |
| Phone Number: | 2539452086 |
| Fax Number: | 2539452177 |
| NPI Enumeration Date: | 10/04/2012 |
| NPI Last Update Date: | 10/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00002029 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |