Individual
ALISON OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4400 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-3189
(219) 879-6115
Mailing address
1906 INDIANA AVE, LA PORTE, IN 46350-6006
(773) 419-6014
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005940A
IN
Other
Enumeration date
03/15/2021
Last updated
07/05/2023
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