Individual
PAUL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
825 N CHANCERY ST, MCMINNVILLE, TN 37110-1604
(931) 474-1900
(931) 474-1904
Mailing address
825 N CHANCERY ST, MCMINNVILLE, TN 37110-1604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7207
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
04/07/2022
Last updated
06/15/2023
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