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Individual

MR. JOSE JUAN ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
3140 GODWIN TERRACE, APT E, BRONX, NY 10463-5469
(646) 261-6160
(347) 427-0510
Mailing address
3140 GODWIN TERRACE, APT E, BRONX, NY 10463-5469
(646) 261-6160
(347) 427-0510

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002850-1
NY

Other

Enumeration date
06/09/2009
Last updated
06/09/2009
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