Individual
JORGE NEFTALI ORTIZ CARRASQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 CALLE CRISTOBAL COLON, YABUCOA, PR 00767-3326
(787) 719-7799
Mailing address
4365 W 131ST ST, CLEVELAND, OH 44135-3005
(216) 744-0594
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA013741
OH
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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