Individual
LISA LYNN OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
842 N MOCKINGBIRD LANE, KINDER HEARTS HOME HEALTH, ABILENE, TX 79603-3820
(325) 428-9115
Mailing address
1317 WASHINGTON BLVD, PO BOX 7041, ABILENE, TX 79601-3820
(325) 428-9115
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2052373
TX
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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