Individual
LARRY ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8607 E PECOS RD STE 116, MESA, AZ 85212-6572
(480) 500-1446
Mailing address
10755 E SIMONE AVE, MESA, AZ 85212-9446
(480) 619-3842
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
05/10/2024
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