Individual
MRS. JENNIFER LYNNE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3334
Mailing address
4411 ALBERT MARTIN, SAN ANTONIO, TX 78253-5083
(210) 862-6034
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
05/10/2013
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