Individual
ILEANSY OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3412 W 84TH ST, HIALEAH, FL 33018-4918
(305) 827-7344
(305) 827-7382
Mailing address
860 W 36TH ST, HIALEAH, FL 33012-5164
(786) 768-6499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13143
FL
Other
Enumeration date
10/21/2010
Last updated
03/04/2015
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