Individual
JOSHUA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
2006 N 2ND AVE APT C, CANYON, TX 79015-2518
(951) 847-4006
Mailing address
2006 N 2ND AVE APT C, CANYON, TX 79015-2518
(951) 847-4006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6571
TX
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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