Individual
MR. JAMES RUSSELL HOTTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2519 COVE AVE, LA GRANDE, OR 97850
(541) 962-0830
Mailing address
2519 COVE AVE, LA GRANDE, OR 97850-3910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008975
WA
Other
Enumeration date
07/06/2017
Last updated
07/21/2022
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