Doctor Name: | ELIZABETH OTERO |
NPI Number: | 1942575055 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MT |
License Number: | MA55796 |
Business Practice Address: | 7301 Nw 4th St Suite-101 Plantation, FL - 333172234 |
Business Phone Number: | 9546260944 |
Business Fax Number: | 9545336534 |
Mailing Address: | 11811 Royal Palm Blvd, Apt-204 CORAL SPRINGS |
State: | FL |
Postal Code: | 330657368 |
Phone Number: | 7863823645 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2012 |
NPI Last Update Date: | 03/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA55796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |