Individual
PATRICK OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3720 QUEEN CT SW, STE I, CEDAR RAPIDS, IA 52404-4735
(319) 364-0300
(319) 364-4043
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03532
IA
225100000X
Physical Therapist
1721
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506475
—
NV
Enumeration date
05/16/2006
Last updated
02/18/2019
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