Most Relevant Information
Provider Data
| NPI Number: | 1003468505 |
| Provider Name: | OTISA SCOTT-HORN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2019 |
| Last Updated: | 07/15/2019 |
Provider Practice Location
424 LAWRENCE ST
IRONTON
OH
456381474
Practice Location Phone/Fax
| Phone: | 7405330055 |
| Fax: | 7405331511 |
Provider Mailing Location
424 LAWRENCE ST
IRONTON
OH
456381474
Provider Mailing Phone/Fax
| Phone: | 7405330055 |
| Fax: | 7405331511 |