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1558324590
MICHAEL E OTTO
POCATELLO, ID
NPI
1558324590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID RPT186)
Enumeration Date
2006-04-10
Last Update Date
2013-03-08
Business Address
Mr. MICHAEL E OTTO RPT
1951 BENCH RD SUITE E
POCATELLO, ID 83201-2073
Phone number: 208-237-2080
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Mailing Address
Mr. MICHAEL E OTTO RPT
1951 BENCH RD SUITE E
POCATELLO, ID 83201-2073
Phone number: 208-237-2080
Copy
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