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Andrew Joseph Otto, PTA

Physical Therapy Assistant in Pickerington, OH. Individual provider (NPI-1).

NPI number1982167748
StatusActive
Last updated in NPPESApr 9, 2019

Details

NPI
1982167748
Entity type
Individual (NPI-1)
Name
Andrew Joseph Otto
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Apr 9, 2019
Last updated
Apr 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA.012143OHYes

Practice location

8849 Charington Ct
Pickerington, OH 43147-9549

Phone 740-412-6757

Mailing address

339 E Maple St
North Canton, OH 44720-2593

Phone 330-498-8200

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