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1316171093
ROLLY BETITA OTERO
BRONX, NY
NPI
1316171093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY P67888)
Enumeration Date
2009-05-08
Last Update Date
2009-05-08
Business Address
-- ROLLY BETITA OTERO PTA
729 PELHAM PKWY N
BRONX, NY 10467-9506
Phone number: 718-944-5050
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Mailing Address
-- ROLLY BETITA OTERO PTA
274 OGDEN AVE BSMNT
JERSEY CITY, NJ 07307-1209
Phone number: 201-658-1529
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