Individual ProviderLynn DewittPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address760 Pilgrim Way, Green Bay, WI 54304-5263(920) 496-4700PECOS EnrollmentBased on the most recent information from CMS, provider Lynn Dewitt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1194041483Provider TypeIndividualFull NameDewitt, LynnCredentialPTAGenderFemaleSole ProprietorNoEnumeration Date4/13/2010Last Updated4/13/2010Contact InformationPractice LocationPractice Address760 Pilgrim Way, Green Bay, WI 54304-5263Phone(920) 496-4700FaxUnlisted FaxMailing LocationMailing Address760 Pilgrim Way, Green Bay, WI 54304-5263Phone(920) 496-4700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225200000XPrimaryDescriptionPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer