Individual
JENNIFER OTTERBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
888 DAYTON ST STE 200, YELLOW SPGS, OH 45387-1777
(937) 767-7291
(937) 767-1302
Mailing address
888 DAYTON ST STE 200, YELLOW SPGS, OH 45387-1777
(937) 767-7291
(937) 767-1302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.013646
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0407603
—
OH
Enumeration date
03/28/2017
Last updated
03/07/2023
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