Individual
JESSICA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PEREZ MORRIS CALLE MAYAGUEZ #52, HATO REY, PR 00917
(787) 315-3184
Mailing address
772 CALLE 33 SE, SAN JUAN, PR 00921-1707
(787) 315-3184
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
707
PR
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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