Individual
VICKY J OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 LINKSLAND RD, MT PLEASANT, SC 29466-8976
(843) 743-8404
Mailing address
3111 LINKSLAND RD, MT PLEASANT, SC 29466-8976
(843) 743-8404
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
SC 509
SC
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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