Individual
COURTNEY BETH OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 S 2ND AVE, COVINA, CA 91723-3013
(626) 974-0774
Mailing address
10252 CORALWOOD CT, ALTA LOMA, CA 91737-3061
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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