Individual
ROBERTO OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1281 E MAIN ST, STAMFORD, CT 06902-3544
(203) 210-2894
Mailing address
1281 E MAIN ST, STAMFORD, CT 06902-3544
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001404
CT
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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