Individual
LEONEL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
304 N LOS ROBLES DR, GOODYEAR, AZ 85338-1425
(602) 573-6943
Mailing address
304 N LOS ROBLES DR, GOODYEAR, AZ 85338-1425
(602) 573-6943
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013973
AZ
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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