Individual
MRS. ALICIA ANA OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA; CCC-SLP
Contact information
Practice address
30 TAVERNIER DR UNIT B, PONTE VEDRA, FL 32081-0677
(904) 404-2345
(904) 789-6295
Mailing address
30 TAVERNIER DR UNIT B, PONTE VEDRA, FL 32081-0677
(904) 844-3136
(904) 789-6295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
017816
NY
235Z00000X
Speech-Language Pathologist
Primary
SA20931
FL
Other
Enumeration date
11/17/2008
Last updated
05/09/2024
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