Individual
MS. ANITA BARBARA ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
5642 AVENTURA WAY, PUEBLO, CO 81005-3362
(719) 369-8569
(719) 561-0791
Mailing address
5642 AVENTURA WAY, PUEBLO, CO 81005-3362
(719) 369-8569
(719) 561-0791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12050828
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38820862
—
CO
Enumeration date
07/02/2006
Last updated
09/23/2016
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