Individual
TONYA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 HOWELL AVE, BROOKSVILLE, FL 34601-1502
(352) 799-1451
Mailing address
15141 DADE AVE, DADE CITY, FL 33523-2315
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14425
FL
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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