Individual
MR. ELIAS ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1200 WASHINGTON ST, UNIT 103, BOSTON, MA 02118-2131
(617) 778-5540
(617) 778-5542
Mailing address
33 LODGEN CT, 1G, MALDEN, MA 02148-6046
(617) 233-8153
(617) 778-5542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8117
MA
Other
Enumeration date
05/08/2008
Last updated
08/11/2015
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