Individual
MR. JESSE KENNETH ORTEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT, OCS, CERT MDT
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER AMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS, TRIPLER AMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305005797
VA
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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