Individual
MR. JAMES GILBERT OETTER
Active
Individual
MR. JAMES GILBERT OETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3526
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86059251885704C013
TRICARE
AZ
Enumeration date
06/28/2005
Last updated
01/15/2013
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