| NPI | 1083117923 |
|---|---|
| Former Name | ANDREW DAVID OTTESON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2024-06-14 |