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Individual
ROBERT W. OTTO JR.
Active
Individual
ROBERT W. OTTO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017010
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2309058000
INDEPENDENCE BLUE CROSS #
PA
01
—
4495223
AETNA PROVIDER #
PA
01
—
OT1633657
BC/BS-MAJOR MEDICAL
PA
Enumeration date
04/13/2006
Last updated
07/13/2026
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