Individual
JESSICA OTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5 FIRST VILLAGE DR, PINEHURST, NC 28374-8724
(910) 235-2713
Mailing address
5 FIRST VILLAGE DR, PINEHURST, NC 28374-8724
(910) 235-2713
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5357
NC
Other
Enumeration date
01/24/2015
Last updated
01/24/2015
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