NPI 1164636015

Emilie Annette Otis, PTA

Practitioner Physical Therapy Assistant Homer, AK

Practice location

Address: 4300 Bartlett Street, Homer, AK 99603
Phone: (907) 235-0370
Mailing address: 41364 Charlie Drive, Homer, AK 99603

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1454 (AK)

Other Physical Therapy Assistant providers in Alaska →

Registry record

NPI: 1164636015
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.