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SARA J OTTEN PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1699019844

Individual Registrant:
 SARA J OTTEN PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
402 2ND AVE  CLARENCE, IA 52216-9754 US
Tel: 563-452-3262  Fax: --

Contact information for business:
1357 LOGAN CT  NORTH LIBERTY, IA 52317-9115 US
Tel: 775-450-5834  Fax: --

Registration Information:
NPI: 1699019844
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
IA03549

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PHYSICAL THERAPY LISENCE03549IA01




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