LACIE OTT

FAIRBANKS, AK
NPI1609132786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AK  2392)
Enumeration Date2012-04-03
Last Update Date2012-04-03
Business Address
-- LACIE OTT PTA
751 OLD RICHARDSON HWY SUITE 202
FAIRBANKS, AK 99701-7813
Phone number: 907-455-4401
Mailing Address
-- LACIE OTT PTA
FILE 50469
LOS ANGELES, CA 90074-0469
Phone number: 530-778-0200
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