MR. Jason Russell Otto, T

NPI #1295747673 in Maumee, Ohio

Provider Information

NPI Number: 1295747673
Entity Type: Individual
Name: MR. Jason Russell Otto, T
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: T
Enumeration Date: Aug 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1787 INDIAN WOOD CIR
City: Maumee
State: Ohio
ZIP Code: 43537-4010
Phone: (419) 897-9822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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