Organization
MANA'OLANA SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE M ORTEGA SLP-CCC (SPEECH PATHOLOGIST)
(520) 331-6307
Entity
Organization
Contact information
Practice address
5034 S WILD MARE RD, TUCSON, AZ 85757-9246
(520) 331-6307
Mailing address
5034 S WILD MARE RD, TUCSON, AZ 85757-9246
(520) 331-6307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0821
AZ
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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