Individual
HANNAH LEAKE OTTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4030 CARDINAL AT NORTH HILLS ST, RALEIGH, NC 27609-2616
(919) 578-4372
Mailing address
3271 LYNN RIDGE DR APT 1D, RALEIGH, NC 27613-8922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
6615
NC
225200000X
Physical Therapy Assistant
Primary
9872
MA
Other
Enumeration date
05/25/2018
Last updated
04/13/2021
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