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Desirae Ott

Speech-Language Pathologist, in Thomasville, GA. Individual provider (NPI-1).

NPI number1164047825
StatusActive
Last updated in NPPESJun 9, 2020

Details

NPI
1164047825
Entity type
Individual (NPI-1)
Name
Desirae Ott
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 9, 2020
Certification date
Jun 9, 2020
Last updated
Jun 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,114131AKYes

Practice location

16127 Us Highway 84 E
Thomasville, GA 31757-1626

Phone 229-413-3168

Mailing address

16127 Us Highway 84 E
Thomasville, GA 31757-1626

Phone 229-413-3168

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Other Speech-Language Pathologist providers in Thomasville, GA

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