Individual
BIANCA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1514 N ZARAGOZA RD STE B4, EL PASO, TX 79936-8041
(915) 257-5782
(915) 257-4027
Mailing address
516 NE I AVENUE, PO BOX 4472, FABENS, TX 79838
(915) 667-6014
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215288
TX
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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