BEGIN:VCARD VERSION:3.0 FN:Ashley Otto N:Otto;Ashley;;; TITLE:Speech-Language Pathologist TEL;TYPE=WORK,VOICE:+16193330434 URL:https://www.gale.care/providers/ca/la-mesa/ashley-otto-1194532507 NOTE:NPI 1194532507. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1194532507 END:VCARD