Individual
AMY ORTEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49341
(616) 840-8414
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004781
MI
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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