Individual
KRISTI MARIE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 S BRAHMA BLVD, KINGSVILLE, TX 78363-7257
(361) 592-8700
Mailing address
3130 S BRAHMA BLVD, KINGSVILLE, TX 78363-7257
(361) 592-8700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210464
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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