Individual
KYLE OTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 ARCADIA DR, TUSCALOOSA, AL 35404-4360
(708) 691-6679
Mailing address
3200 ARCADIA DR, TUSCALOOSA, AL 35404-4360
(708) 691-6679
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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