Individual
GUILLERMO ANTONIO ORTIZ MACHUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 FRANKLIN ST, WEYERS CAVE, VA 24486-2347
(540) 234-8800
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP024167T
VA
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
P22127
NC
2251X0800X
Orthopedic Physical Therapist
PT301812
CA
Other
Enumeration date
12/15/2021
Last updated
10/02/2024
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