Individual
GUSTAVO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(785) 580-3225
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002235
GA
Other
Enumeration date
12/18/2015
Last updated
05/13/2026
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