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Individual
JUSTIN ANDREW OTT
Active
Individual
JUSTIN ANDREW OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6066
NC
111N00000X
Chiropractor
Primary
DC012151
PA
2255A2300X
Athletic Trainer
Primary
301248
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2020
Last updated
08/13/2026
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