Individual
KAYLA DIANE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3905
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4985
OK
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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