NPI 1306375605
Chris Alva Ottwell
Practice location
- Address
- 121 E 2nd St, Beardstown, IL 62618-1263
- Phone
- (217) 323-2980
- Fax
- (217) 323-3731
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1306375605
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Jun 2017
- Record last updated
- 21 Jul 2022
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.