Individual
MS. LORI ANN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
6 BASSWOOD RD, PARAJE, NM 87007
(505) 431-0704
Mailing address
PO BOX 130, ACL INDIAN HOSP IHS ATTN BUS OFFICE, SAN FIDEL, NM 87049
(505) 552-5385
(505) 552-5473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3100
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40403262
—
NM
Enumeration date
10/05/2006
Last updated
02/09/2022
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