Individual
MRS. KIMBERLY DYAN CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
904 ISAAC STREETS DR, OREGON, OH 43616-3204
(419) 691-2483
(419) 693-4162
Mailing address
1040 SCHMIDLIN RD, OREGON, OH 43616-3406
(419) 691-6897
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01870
OH
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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