Individual
ANTOINETTE MARIE GORTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5326 KULA CT, NORTH PORT, FL 34287-2448
(216) 339-3586
Mailing address
5326 KULA CT, NORTH PORT, FL 34287-2448
(216) 339-3586
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13049
FL
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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