Individual
MR. JASON RUSSELL OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
T
Contact information
Practice address
1787 INDIAN WOOD CIR, MAUMEE, OH 43537-4010
(419) 897-9822
(419) 897-9824
Mailing address
3425 EXECUTIVE PKWY, SUITE 128, TOLEDO, OH 43606-1326
(419) 537-0764
(419) 537-0948
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10722
OH
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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