Individual
BRYAN ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2259 MYRTLE AVE, EUREKA, CA 95501-3325
(562) 659-3772
Mailing address
2259 MYRTLE AVE, EUREKA, CA 95501-3325
(707) 444-8293
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/15/2024
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