Individual
SARAH OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED CCC-SLP
Contact information
Practice address
1150 NORTHWEST DR, CHARLOTTESVILLE, VA 22901-2309
(434) 973-7933
Mailing address
2515 PLATEAU RD APT A, CHARLOTTESVILLE, VA 22903-2922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009141
VA
390200000X
Student in an Organized Health Care Education/Training Program
2204000104
VA
Other
Enumeration date
02/07/2019
Last updated
06/20/2019
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