Individual
JOSE GUILLERMO ORTEGA TANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
300 W WINONA ST, PHILADELPHIA, PA 19144-3925
(215) 273-6823
Mailing address
300 W WINONA ST, PHILADELPHIA, PA 19144-3925
(215) 273-6823
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG012823
PA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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