Individual
ASHLEY OTTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 GASTIN ST, PORT CHARLOTTE, FL 33953-1245
(941) 769-1410
Mailing address
290 GASTIN ST, PORT CHARLOTTE, FL 33953-1245
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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