Individual
MAYELA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
921 SHILOH RD, TYLER, TX 75703-1431
(903) 939-2800
(903) 509-3744
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1; SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2154963
TX
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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