Individual
MISS KINEISHA J ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
SEC. VILLA PALMA CALLE 14, PARC. 270, DORADO, PR 00646-9789
(787) 452-6451
Mailing address
HC 46 BOX 5411, DORADO, PR 00646-9789
(787) 452-6451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001269
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6870953
LICENSE NUMBER
PR
Enumeration date
01/29/2021
Last updated
01/29/2021
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