Individual
JENNIFER ILENE OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
359 UPPER MOUNTAIN AVE, UPPER MONTCLAIR, NJ 07043-1424
(201) 655-3622
Mailing address
359 UPPER MOUNTAIN AVE, UPPER MONTCLAIR, NJ 07043-1424
(201) 655-3622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00335600
NJ
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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