Individual
KEVIN BORTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OT/L
Contact information
Practice address
221 W HALLANDALE BEACH BLVD STE 112, HALLANDALE BEACH, FL 33009-5441
(786) 770-9480
Mailing address
1098 PERSIAN LN, SEBASTIAN, FL 32958-5456
(248) 242-1332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15422
FL
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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