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Individual

MR. GEORGE R. OTTLEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MASSAGE THERAPIST

Contact information

Practice address
22138 CANDLE CT, BOCA RATON, FL 33428-4639
(561) 852-8225
Mailing address
22138 CANDLE CT, BOCA RATON, FL 33428-4639
(561) 852-8225

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA#53739
FL

Other

Enumeration date
03/05/2009
Last updated
03/05/2009
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