Individual
SHELBY LYNN OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1604 LEGEND HILL LN, WAUKESHA, WI 53189-8088
(262) 880-4664
(262) 447-0850
Mailing address
1604 LEGEND HILL LN, WAUKESHA, WI 53189-8088
(262) 880-4664
(262) 447-0850
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7009-26
WI
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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