Individual
VICTOR JAMES ORNELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
352 E CAMELBACK RD, PHOENIX, AZ 85012-1646
(602) 277-5047
Mailing address
9518 W HIGHLAND AVE, PHOENIX, AZ 85037-1075
(602) 510-7606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4999
AZ
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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