Individual
REBECA OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 N LAKE PARKER AVE, LAKELAND, FL 33801-2040
(863) 519-0575
(863) 733-4496
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
(863) 733-4496
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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