Individual
JON C OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
101 N 6TH ST, BELEN, NM 87002-3605
(505) 710-8536
Mailing address
106 N 6TH ST, BELEN, NM 87002-3606
(505) 317-7773
(855) 844-8611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3063
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5239
—
NM
Enumeration date
08/01/2006
Last updated
09/11/2025
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