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Individual
JUSTIN E OTT
Active
Individual
JUSTIN E OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02020900
NJ
225100000X
Physical Therapist
PT029128
PA
225100000X
Physical Therapist
PT60772484
WA
Other
Enumeration date
07/10/2017
Last updated
08/04/2021
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