Individual
MS. SUSAN OTTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7000
Mailing address
2807 KECOUGHTAN RD, HAMPTON, VA 23661-3037
(757) 348-6153
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002064
VA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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