Individual
JUSTIN ANDREW OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 RECREATION BLDG, UNIVERSITY PARK, PA 16802-5700
(814) 865-5284
Mailing address
146 RECREATION BLDG, UNIVERSITY PARK, PA 16802-5700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
301248
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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