Individual
MICHELLE OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
12250 DEER FLAT RD, NAMPA, ID 83686-9118
(208) 949-5016
Mailing address
12250 DEER FLAT RD, NAMPA, ID 83686-9118
(208) 949-5016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2554
ID
Other
Enumeration date
08/20/2019
Last updated
12/19/2023
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