Individual
JULIA LEIGH OTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
515 W FOURTEENTH ST UNIT A, TRAVERSE CITY, MI 49684-4059
(231) 944-4478
Mailing address
PO BOX 2035, KALKASKA, MI 49646-2035
(231) 944-4478
(231) 346-6013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501302350
MICHIGAN PHYSICAL THERAPY LICENSING
MI
Enumeration date
11/14/2022
Last updated
11/14/2022
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