Individual
MAYBELLE ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7720 BLACK WALNUT DR, AVON, IN 46123-9516
(317) 270-2216
Mailing address
7720 BLACK WALNUT DR, AVON, IN 46123-9516
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
31004215A
IN
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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