Individual
MRS. LISA WEITSCHAT OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
17045 EL CAMINO REAL, SUITE 106, HOUSTON, TX 77058-2649
(281) 480-5648
Mailing address
1943 SEAKALE LN, HOUSTON, TX 77062-6124
(281) 286-2959
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
105381
TX
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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