SearchIndiana225X00000X

Lydia Bradfortd Otiato, MOT

NPI 1821206608 · on the registry since 2007 · sole proprietor

Practice

Address
1818 Georgian Ct
South Bend, IN 46614
Phone
(574) 514-8127
Fax
(574) 231-9021

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana