Individual
MR. HENRY STUART OTTO III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
424 W WACKERLY ROAD, MIDLAND, MI 48640
(989) 631-4100
(989) 631-1154
Mailing address
607 LINWOOD DRIVE, MIDLAND, MI 48640-6002
(989) 832-5943
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006404
MI
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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