Individual
JULISSA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8603 BROADWAY STREET, SUITE 170, PEARLAND, TX 77584
(281) 540-2001
Mailing address
7030 DICKSON WAY, MISSOURI CITY, TX 77489-2505
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42862
TX
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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