Individual
MRS. ASHLEY NICOLE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2012 MATAGORDA DR, PORTLAND, TX 78374-2718
(356) 332-6150
Mailing address
2012 MATAGORDA DR, PORTLAND, TX 78374-2718
(361) 332-6150
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214848
TX
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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