Individual
SHARI OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4558 S. 150 W., LA PORTE, IN 46350-7725
(219) 898-5611
Mailing address
4558 S. 150 W., LA PORTE, IN 46350
(219) 898-5611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001954A
IN
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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