Individual
DR. JORGE ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1234 SUMMER ST STE 101, STAMFORD, CT 06905-5521
(203) 359-8326
(203) 352-1912
Mailing address
2 COLUMBUS AVE, VALHALLA, NY 10595-1702
(914) 474-6605
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9444
CT
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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