Individual
JOAN OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2630 W 13TH ST, ASHTABULA, OH 44004-2405
(814) 594-5636
Mailing address
2631 W 13TH STREET, ASHTABULA, OH 44004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
OH PTA 5848
OH
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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