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Individual

HEATHER ANN OTTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
667 S 700 E, SALT LAKE CITY, UT 84102-3441
(801) 428-7016
Mailing address
7537 S RUSSI PL, MIDVALE, UT 84047-4794
(801) 428-7016

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/16/2025
Last updated
07/16/2025
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