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Individual

MRS. JOLENE ORTEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8540 SCARBOROUGH DR STE 200, COLORADO SPRINGS, CO 80920-7513
(719) 630-7500
Mailing address
926 E 5TH ST, PUEBLO, CO 81001-3762

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0013917
CO
225200000X
Physical Therapy Assistant
Primary
PTA.0013917
CO

Other

Enumeration date
10/25/2017
Last updated
10/25/2017
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