Individual
DRAKE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 COLLEGE PARK DR, SAINT LOUIS, MO 63141-8698
(314) 434-1115
Mailing address
1 COLLEGE PARK DR, SAINT LOUIS, MO 63141-8698
(314) 434-1115
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2016022741
MO
Other
Enumeration date
10/22/2014
Last updated
07/13/2016
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