Individual
LIDYSVET KELLY ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2241 NW 8TH TER, CAPE CORAL, FL 33993-6809
(786) 557-9450
Mailing address
2241 NW 8TH TER, CAPE CORAL, FL 33993-6809
(786) 557-9450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33202
FL
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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