Otter, Tina

Otter, Tina is an individual health care provider with primary practice located at 2956 I-45 North Suite 500, Conroe TX 77303. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Otter, Tina can be contacted via phone (936) 441-4422.

Contact Information

Primary practice address
2956 I-45 North Suite 500 Conroe TX 77303
Phone: (936) 441-4422
Fax: (936) 441-4427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1148649 Texas

Profile Details

NPI number 1144239070
LBN Legal business name Otter, Tina
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Sep 8th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144239070 NPPES
Texas Other 00164S MEDICARE PROVIDER GROUP N
Texas Other 8T0852 MEDICARE PROVIDER GROUP N

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