Larry O Otwell, AUD CCCA

NPI #1417941329 in Lynn Haven, Florida

Provider Information

NPI Number: 1417941329
Entity Type: Individual
Name: Larry O Otwell, AUD CCCA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Audiologist
Credential: AUD CCCA
Enumeration Date: Sep 7, 2005
Last Updated: Apr 3, 2013

Practice Location

Address: 2518 S HIGHWAY 77 STE A
City: Lynn Haven
State: Florida
ZIP Code: 32444-4730
Phone: (850) 769-2705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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Organizations

Provider Name	Specialty	City
Audiology Consultants PA of Panama City	Audiologist	Lynn Haven	AI Deep Dive

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