Otis, Gina

Otis, Gina is an sole proprietor health care provider with primary practice located at 196 N Belle Mead Rd Ste 3 , East Setauket NY 11733-3477. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Otis, Gina can be contacted via phone (631) 445-9937.

Contact Information

Primary practice address
196 N Belle Mead Rd Ste 3 East Setauket NY 11733-3477
Phone: (631) 445-9937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 010973 New York

Profile Details

NPI number 1376183731
LBN Legal business name Otis, Gina
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2020
Last updated Jan 16th, 2020 - about 6 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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