Individual
KATHERINE OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
9 OAK SQUARE AVE, APT. 1R, BRIGHTON, MA 02135-2516
(617) 947-8444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6442
MA
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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