Individual
DR. MADISON MARIE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
74240 TALLASSEE HWY, WETUMPKA, AL 36092-5504
(334) 514-4488
Mailing address
326 HICKORY PL, WETUMPKA, AL 36093-3780
(707) 490-8105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10107
AL
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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