Individual
MICHAEL OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5925 CLEVELAND AVE STE B, COLUMBUS, OH 43231-2209
(614) 776-4646
Mailing address
5925 CLEVELAND AVE STE B, COLUMBUS, OH 43231-2209
(614) 776-4646
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
02/24/2022
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