MRS. Farren Montana Otwell, RD, LMT

NPI #1821856634 in Maxwell Afb, Alabama

Provider Information

NPI Number: 1821856634
Entity Type: Individual
Name: MRS. Farren Montana Otwell, RD, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, LMT
Enumeration Date: Mar 7, 2024
Last Updated: Jun 12, 2024

Practice Location

Address: 300 TWINING ST BLDG 760
City: Maxwell Afb
State: Alabama
ZIP Code: 36112-6027
Phone: (334) 953-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Dietitian, Registered	133V00000X	Primary

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