Individual
DIEGO ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
426 ASHLAND DR, WYLIE, TX 75098-6918
(972) 400-8178
Mailing address
426 ASHLAND DR, WYLIE, TX 75098-6918
(972) 400-8178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP000196A
OR
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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