Individual
REBECCA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 S FRONTAGE RD STE 340, HASTINGS, MN 55033-2482
(651) 438-3920
Mailing address
7972 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3320
(612) 458-1637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
PTA
MN
Enumeration date
09/20/2006
Last updated
07/08/2007
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