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NPI Code Detail

MEDICARE: ABIGAIL ANN OTT

MEDICARE: ABIGAIL ANN OTT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist5431MS

General Provider Information

NPI Number : 1730015322
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL ANN OTT
Provider Business Mailing Address
First Line : 4015 OAKRIDGE DR
Second Line :
City : JACKSON
State : MS
Zip : 39216-3414
Country : US
Telephone Number : 972-655-6016
Fax Number :
Provider Business Practice Location Address
First Line : 2500 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39216-4500
Country : US
Telephone Number : 601-984-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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Directions to “ ABIGAIL ANN OTT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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