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1093065955
TRAVIS LEWELLEN OTTO
TAMPA, FL
NPI
1093065955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY8595)
Enumeration Date
2012-09-18
Last Update Date
2014-09-16
Business Address
Mr. TRAVIS LEWELLEN OTTO Psy.D.
2505 CROWDER LN
TAMPA, FL 33629-6253
Phone number: 813-361-4809
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Mailing Address
Mr. TRAVIS LEWELLEN OTTO Psy.D.
6225 WILLET CT
LAKEWOOD RANCH, FL 34202-8224
Phone number: 813-361-4809
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