Individual
ANDREA RAMONA ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 W KATHRYN ST, BOISE, ID 83705-4138
(928) 502-9097
Mailing address
2901 W KATHRYN ST, BOISE, ID 83705-4138
(928) 502-9097
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
SLPA9126
AZ
Other
Enumeration date
10/10/2014
Last updated
02/07/2024
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