Individual
MELISSA ANNE OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
742 STERBENZ DR, HUDSON, WI 54016-8327
(715) 386-2128
Mailing address
742 STERBENZ DR, HUDSON, WI 54016-8327
(715) 386-2128
(715) 386-6119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14334
WI
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10078565
—
WI
Enumeration date
06/18/2018
Last updated
11/28/2018
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