Individual
IDALMIS MODESTA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5101 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 616-0100
Mailing address
502 MCCAULEY BLVD, SAN ANTONIO, TX 78221-1329
(210) 931-5025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2187868
TX
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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