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Organization
OTTEMAN CHIROPRACTIC, PLLC
Active
Organization
OTTEMAN CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JOHN OTTEMAN DC (PRESIDENT)
(815) 603-0325
Entity
Organization
Contact information
Practice address
1205 S WHITE CHAPEL BLVD STE 230, SOUTHLAKE, TX 76092-9341
(817) 224-2202
Mailing address
1205 S WHITE CHAPEL BLVD STE 100, SOUTHLAKE, TX 76092-9333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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