Individual
JAMESON MATTHEW OTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5559
(920) 451-5121
Mailing address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5559
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
14657-24
WI
2251X0800X
Orthopedic Physical Therapist
Primary
14657-24
WI
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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