Individual
CHELSEA OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
535 HIGH MOUNTAIN RD STE 104, NORTH HALEDON, NJ 07508-2652
(973) 423-9001
Mailing address
54 FREDERICK AVE, HAWTHORNE, NJ 07506-1228
(973) 459-2180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00229900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000025992
BOC AT CERTIFICATION
—
01
—
25MT00229900
STATE OF NJ BOARD OF MEDICAL EXAMINERS
NJ
Enumeration date
03/19/2018
Last updated
03/19/2018
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