Individual
ALLISON SUZANNE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
287 SE WESTOWN PARKWAY, WAUKEE, IA 50263
(515) 446-3403
Mailing address
316 3RD AVE NW, MOUNT VERNON, IA 52314-1322
(319) 929-9447
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
IA
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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