JESSICA LEA OTT

LONGMONT, CO
NPI1801224357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  13212)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: NC  A5092)
Enumeration Date2013-10-21
Last Update Date2014-02-04
Business Address
-- JESSICA LEA OTT PTA
1067 S HOVER ST STE E PMB 187
LONGMONT, CO 80501-7903
Phone number: 828-275-7114
Mailing Address
-- JESSICA LEA OTT PTA
1067 S HOVER ST STE E PMB 187
LONGMONT, CO 80501-7903
Phone number: