Individual
DR. DOMCIELIE ORTEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
104 AIRWAY DR # 1, MARION, IL 62959-5841
(219) 775-2473
Mailing address
910 FARRIS ST UNIT B, CARTERVILLE, IL 62918-1110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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