Individual
DIANE OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 BUCKEYE ST, ROCKFORD, OH 45882-9267
(419) 363-3045
(419) 363-2598
Mailing address
5065 GAUSE RD, COLDWATER, OH 45828-9783
(419) 942-0008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.6652
OH
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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