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SARA J OTTEN PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1699019844
Individual Registrant: SARA J OTTEN PT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
402 2ND AVE CLARENCE, IA 52216-9754 US
Tel: 563-452-3262 Fax: --
Tel: 563-452-3262 Fax: --
Contact information for business:
1357 LOGAN CT NORTH LIBERTY, IA 52317-9115 US
Tel: 775-450-5834 Fax: --
Tel: 775-450-5834 Fax: --
Registration Information:
NPI: 1699019844
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | IA | 03549 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PHYSICAL THERAPY LISENCE | 03549 | IA | 01 |
