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Individual

DEBRA OTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1417 RALSTON AVE, DEFIANCE, OH 43512-1339
(419) 438-6024
Mailing address
1417 RALSTON AVE, DEFIANCE, OH 43512-1339
(419) 438-6024

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.005471
OH

Other

Enumeration date
08/26/2014
Last updated
08/26/2014
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