Individual
MRS. JANIE ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
917 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 762-3502
(888) 310-4824
Mailing address
917 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 762-3502
(888) 310-4824
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-1849
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588171300
—
ID
Enumeration date
01/02/2018
Last updated
09/15/2020
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