Individual
LYDIA GRACE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
821 JEFFERSON ST, PORT CLINTON, OH 43452-2415
(419) 921-9792
Mailing address
2609 GREENWICH MILAN TOWNLINE RD, NORWALK, OH 44857-8842
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OH
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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