Otto, Robert W.

Otto, Robert W. is an individual health care provider with primary practice located at 2010 West Chester Pike Suite 450, Havertown PA 19083. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Otto, Robert W. can be contacted via phone (610) 853-0508.

Contact Information

Primary practice address
2010 West Chester Pike Suite 450 Havertown PA 19083
Phone: (610) 853-0508
Fax: (610) 853-3837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT017010 Pennsylvania

Profile Details

NPI number 1598729972
LBN Legal business name Otto, Robert W.
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1598729972 NPPES
Pennsylvania Other OT1633657 BC/BS-MAJOR MEDICAL
Pennsylvania Other 4495223 BC/BS-MAJOR MEDICAL
Pennsylvania Other 2309058000 BC/BS-MAJOR MEDICAL

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