Individual provider · Type 1 NPI

Nicole Otto, MD

Sports Medicine (Family Medicine) Physician · Philadelphia, PA

NPI number 1306915335 Active

Practice location

3535 Market St, Suite 100
Philadelphia, PA 19104-3309

Fax (215) 746-1032

Mailing address

213 Dickinson Ave
Swarthmore, PA 19081-1630

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010XMD425787 (PA)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1306915335

Nicole Otto, MD's National Provider Identifier is 1306915335, issued on Nov 6, 2006. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 9, 2009.