Individual
JUSTIN KEITH OTTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Contact information
Practice address
408 POMPTON AVE, CEDAR GROVE, NJ 07009
(973) 610-2887
Mailing address
11 TIVOLI CT, LITTLE FALLS, NJ 07424-2300
(973) 610-2887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00718400
NJ
Other
Enumeration date
08/19/2018
Last updated
08/19/2018
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