Individual
JEAN C OTERO-NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Mailing address
1514 SANDALWOOD LN, ANNA, TX 75409-4218
(787) 516-9044
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2143026
TX
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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