Individual
MR. WALTER ORTIZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
564 MALACHITE LN, CHAPIN, SC 29036-6318
(619) 852-9724
Mailing address
564 MALACHITE LN, CHAPIN, SC 29036-6318
(619) 852-9724
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14140
SC
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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