Most Relevant Information
Provider Data
| NPI Number: | 1003686189 |
| Provider Name: | ABIGAIL OTIS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2024 |
| Last Updated: | 01/08/2024 |
Provider Practice Location
2501 GOOD HOPE RD SE
WASHINGTON
DC
200203011
Practice Location Phone/Fax
| Phone: | 2028667505 |
| Fax: |
Provider Mailing Location
2501 GOOD HOPE RD SE
WASHINGTON
DC
200203011
Provider Mailing Phone/Fax
| Phone: | 2028667505 |
| Fax: |