Individual
AMBER OTOLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 GRAPE RD STE 3, MISHAWAKA, IN 46545-2714
(574) 217-7423
Mailing address
3305 GRAPE RD STE 3, MISHAWAKA, IN 46545-2714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008680A
IN
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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