Individual
JESSICA OTTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2474
Mailing address
W3985 COUNTY ROAD NN, PO BOX 1002, ELKHORN, WI 53121-4337
(262) 741-2474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12303
WI
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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