EMILIE ANNETTE OTIS

HOMER, AK
NPI1164636015
Former NameEMILIE ANNETTE COVER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AK  1454)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
Mrs. EMILIE ANNETTE OTIS PTA
4300 BARTLETT STREET
HOMER, AK 99603
Phone number: 907-235-0370
Mailing Address
Mrs. EMILIE ANNETTE OTIS PTA
41364 CHARLIE DRIVE
HOMER, AK 99603
Phone number: 907-235-0706