Individual
ROLLY BETITA OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
729 PELHAM PKWY N, BRONX, NY 10467-9506
(718) 944-5050
Mailing address
274 OGDEN AVE, BSMNT, JERSEY CITY, NJ 07307-1209
(201) 658-1529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P67888
NY
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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