Individual
STEPHANIE E ORTEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4121 OAK HOLLOW LN, HARRISBURG, NC 28075-6648
(704) 579-1047
Mailing address
4121 OAK HOLLOW LN, HARRISBURG, NC 28075-6648
(704) 579-1047
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5193
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5193
STATE LICENSE
NC
Enumeration date
10/28/2018
Last updated
10/28/2018
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