Individual
MR. MATTHEW OTTULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
175 JEFFERSON ST, FAIRFIELD, CT 06825-1078
(203) 365-6443
Mailing address
175 JEFFERSON ST, FAIRFIELD, CT 06825-1078
(203) 365-6443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14.009221
CT
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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