Individual
JUANITA MARTHA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7001 MCPHERSON RD, LAREDO, TX 78041-6410
(956) 723-7001
Mailing address
132 HORIZON LOOP, LAREDO, TX 78046-5101
(956) 286-1183
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208891
TX
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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