Individual ProviderKatie OtisDay Training/Habilitation SpecialistNursing Service Related ProvidersPractice Address4205 W Figarden Dr, Fresno, CA 93722-6051(661) 495-4125(559) 221-1680PECOS EnrollmentBased on the most recent information from CMS, provider Katie Otis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1598476582Provider TypeIndividualFull NameOtis, KatieGenderFemaleSole ProprietorNoEnumeration Date12/9/2022Last Updated6/5/2025Contact InformationPractice LocationPractice Address4205 W Figarden Dr, Fresno, CA 93722-6051Phone(661) 495-4125FaxUnlisted FaxMailing LocationMailing Address4205 W Figarden Dr, Fresno, CA 93722-6051Phone(559) 221-1680FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode373H00000XPrimaryDescriptionDay Training/Habilitation SpecialistNursing Service Related ProvidersLicenseUnlisted IssuerCode172V00000XDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted Issuer