Individual
ALYSSA OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7976 BROOKPOINT PL, WESTERVILLE, OH 43081-5008
(614) 847-1461
Mailing address
1000 WHALEY ST, APT 1046, COLUMBIA, SC 29201-4269
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1482
SC
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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