Individual
MR. WILLIAM ANDREW OETTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5 EDGEWOOD AVE, GREENWICH, CT 06830-5211
(203) 302-3570
Mailing address
15 LOUIS DR, KATONAH, NY 10536-3122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002631
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080002631CT01
ANTHEM BCBS PROVIDER #
CT
01
—
ANC866
OXFORD ORTHONET PROVIDER
CT
Enumeration date
06/26/2006
Last updated
07/08/2007
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