Individual
ALEC MATEO OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5796 NASHVILLE RD, BOWLING GREEN, KY 42101-7546
(270) 745-0987
(270) 745-0986
Mailing address
205 W CHERRY ST, GLASGOW, KY 42141-1505
(270) 404-5440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008435
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037133761
—
KY
Enumeration date
11/15/2021
Last updated
11/15/2021
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