Individual
RENEE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA, LCAT, R-DMT
Contact information
Practice address
110 NEW YORK AVE APT 3L, BROOKLYN, NY 11216-5902
(347) 739-0623
Mailing address
110 NEW YORK AVE APT 3L, BROOKLYN, NY 11216-5902
(347) 739-0623
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
001627-1
NY
224Z00000X
Occupational Therapy Assistant
Primary
006363-1
NY
Other
Enumeration date
02/07/2007
Last updated
12/18/2013
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