Individual
JESSICA ERIN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 N UPPER BROADWAY ST, CORPUS CHRISTI, TX 78401-2756
(361) 236-2320
Mailing address
1508 DENVER ST, PORTLAND, TX 78374-2433
(830) 500-0171
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2062648
TX
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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