Individual
MR. JOSE JUAN ORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1441 FORTUNE ROAD, 256, KISSIMMEE, FL 34744
(407) 870-3948
Mailing address
2221 TRADEWINDS DR, KISSIMMEE, FL 34746-2161
(321) 402-4029
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
28182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NONE
—
Enumeration date
01/10/2018
Last updated
01/10/2018
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