Individual
TINA KAY ORTOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
34505 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3258
(734) 323-7500
Mailing address
650 COUNTRYSIDE LN, OAKLAND, MI 48363-1402
(832) 215-1282
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004527
MI
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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