# GUILLERMO ANTONIO ORTIZ MACHUCA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346909561
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | CP024167T | VA | — |
| 225100000X | Physical Therapist | CP057844T | MD | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | P22127 | NC | — |
| 2251X0800X | Orthopedic Physical Therapist | PT301812 | CA | — |

## Other

- **Enumeration date:** 12/15/2021
- **Last updated:** 06/04/2026
