Individual
KRISTAL CRUZ ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 FLORIDA AVE, SAINT CLOUD, FL 34769-3721
(321) 837-9737
Mailing address
182 HARWOOD CIR, KISSIMMEE, FL 34744-8413
(407) 879-7627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT23078
FL
Other
Enumeration date
04/28/2022
Last updated
11/20/2022
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