Individual
PRESTON OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2560 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 994-7864
(918) 994-7884
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 777-6236
(423) 777-6236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6409
OK
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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