Individual
DESIRAE OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16127 US HIGHWAY 84 E, THOMASVILLE, GA 31757-1626
(229) 413-3168
Mailing address
16127 US HIGHWAY 84 E, THOMASVILLE, GA 31757-1626
(229) 413-3168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114131
AK
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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