Individual
DR. JIM OTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
431 30TH ST, OAKLAND, CA 94609-3304
(510) 832-6848
Mailing address
431 30TH ST, OAKLAND, CA 94609-3304
(510) 832-6848
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
14460
CA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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