Individual
MR. SAMUEL VICTOR ORTBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
239 E MARKET ST, WEST CHESTER, PA 19382-2739
(855) 687-2410
Mailing address
605 SHROPSHIRE DR, WEST CHESTER, PA 19382-2229
(717) 860-6113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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