Individual
LEIDY JOHANA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3910 SHOREVIEW DR, KISSIMMEE, FL 34744-0002
(407) 572-1321
Mailing address
3910 SHOREVIEW DR, KISSIMMEE, FL 34744-0002
(407) 572-1321
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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