Individual
BROOKE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-3236
Mailing address
507 S MONROE ST, LANCASTER, WI 53813-2099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5274-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MNIBO428
—
WI
Enumeration date
08/24/2018
Last updated
08/24/2018
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