Individual
DIANNE M OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8311 MONTGOMERY RD, CINCINNATI, OH 45236-2227
(513) 985-3700
(513) 985-3706
Mailing address
4685 FOREST AVE, STE C, CINCINNATI, OH 45212-3359
(513) 985-3700
(513) 985-3706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-005034
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000354584
ANTHEM
—
05
—
2328743
—
OH
01
—
7214214
AETNA
—
Enumeration date
09/19/2006
Last updated
03/30/2017
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