Individual
MICHAELA E OTTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 LACKLAND RD, FORT WORTH, TX 76116-4173
(210) 216-6367
Mailing address
2109 SAINT JAMES PL, KELLER, TX 76248-8352
(704) 975-9470
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2184935
TX
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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