Individual
LYNNETTE Y ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7614 SWILCAN DR APT 19101, ORLANDO, FL 32822-5090
(787) 453-7413
Mailing address
7614 SWILCAN DR APT 19101, ORLANDO, FL 32822-5090
(787) 453-7413
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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