Individual
PAIGE A ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4068 MENDOTA AVE, SPRING HILL, FL 34606-2411
(352) 414-8173
Mailing address
4068 MENDOTA AVE, SPRING HILL, FL 34606-2411
(352) 414-8173
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2355S0801X
Speech-Language Assistant
Primary
SI3627
FL
2355S0801X
Speech-Language Assistant
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/30/2018
Last updated
05/04/2023
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