Individual
ANGELICA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4240 LAKELAND HIGHLANDS ROAD, LAKELAND, FL 33813
(863) 607-5948
Mailing address
4240 LAKELAND HIGHLANDS ROAD, LAKELAND, FL 33813
(863) 607-5948
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10612
FL
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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