Healthcare Provider Details

I. General information

NPI: 1366328114
Provider Name (Legal Business Name): OTONA TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3245 QUEEN CITY AVE APT 4
CINCINNATI OH
45238-2341
US

IV. Provider business mailing address

3245 QUEEN CITY AVE APT 4
CINCINNATI OH
45238-2341
US

V. Phone/Fax

Practice location:
  • Phone: 703-945-8814
  • Fax:
Mailing address:
  • Phone: 703-945-8814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: WONDWESEN BLOSHIE
Title or Position: OWNER
Credential:
Phone: 703-945-8814