| NPI | 1467908012 |
|---|---|
| Other Name | ANDREW OTT |
| Entity Type | Organization |
| Authorized Contact | J ANDREW OTT Sole Member 260-387-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IN 34005694A) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |