Laurie Ottens
Individual provider Active NPI Physical Therapist · Weed, CA
NPI 1194377127 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1194377127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT14791 (CA)
- Practice address
- 445 Park St
Weed, CA 96094-2332 - Phone
- (530) 938-4429
- NPI assigned
- Jul 10, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT14791 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT14791 | CA | Yes |
Addresses
Primary practice location
445 Park St
Weed, CA 96094-2332
Mailing address
317 W Alma St
Mount Shasta, CA 96067-2102
Phone (530) 859-0628
Other providers in Weed, CA
- Jill C Miller
- Mountain Valleys Health Centers
- Zachary James Myers
- Jeffrey Alexander Ott
- Jaya Ottens
- Owens Healthcare - Retail Pharmacy, Inc.
- David Rodriguez
- Isaiah Roggow
- Douglas W Rolly
- Erika C Rosales
All providers in Weed, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.