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Individual
JOSE ORTA III
Active
Individual
JOSE ORTA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031957
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01182512
—
NY
Enumeration date
01/22/2010
Last updated
01/22/2010
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