Individual
HANNAH E OTTOSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 LUBBUCK CT, MOSCOW MILLS, MO 63362-0411
(636) 344-0898
Mailing address
600 LUBBUCK CT, MOSCOW MILLS, MO 63362-0411
(636) 297-0054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020014984
MO
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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