Individual
MS. DEBRA JEAN OTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4844 MEHLBROOK DR, SAINT LOUIS, MO 63129-1672
(314) 487-3779
Mailing address
4844 MEHLBROOK DR, SAINT LOUIS, MO 63129-1672
(314) 487-3779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00757
MO
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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