Individual
BRADFORD A OTTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2412 W ANDREW JOHNSON HWY, SUITE E, MORRISTOWN, TN 37814-3276
(423) 200-3510
Mailing address
2412 W ANDREW JOHNSON HWY, SUITE E, MORRISTOWN, TN 37814-3276
(423) 200-3510
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
I000000017907
TN
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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