Individual
KRISTIN LARA OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3938
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391772
AHCCCS NUMBER
AZ
Enumeration date
02/03/2007
Last updated
07/02/2026
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