Individual
BRADLEY ALLEN OTTINGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3060 HENDERSON DR, JACKSONVILLE, NC 28546-5246
(910) 346-3151
Mailing address
238 S CREEK DR, JACKSONVILLE, NC 28540-9628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9131
NC
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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