Individual
JOSEF SAMUEL OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
488 SUGARMAPLE RD, 88MDG/SGHJ, WRIGHT PATTERSON AFB, OH 45433
(937) 427-0771
Mailing address
3205 WINTERSET DR, DAYTON, OH 45440-3629
(937) 212-5604
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT6670
OH
Other
Enumeration date
05/02/2006
Last updated
07/21/2022
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