Samuel Otto

NPI #1063143634 in Verona, Wisconsin

Provider Information

NPI Number: 1063143634
Entity Type: Individual
Name: Samuel Otto
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jun 23, 2022
Last Updated: Jun 23, 2022

Practice Location

Address: 1049 N EDGE TRL
City: Verona
State: Wisconsin
ZIP Code: 53593-1942
Phone: (608) 845-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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