Individual
EDWARD LYNN OETKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1758 SPRINGHILL AVE, MOBILE, AL 36607-3508
(251) 479-0551
Mailing address
26 S LAFAYETTE ST, MOBILE, AL 36604-1714
(251) 473-4602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1504
AL
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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