Individual
ALYSSA KAYLA OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 OLD CANAL DR, LOWELL, MA 01851-2730
(978) 453-6800
Mailing address
46 PUTNAM AVE, LOWELL, MA 01851-1707
(978) 596-5370
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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