Individual
MR. LUIS TONY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3640 COLONEL GLEN HWY, ROOM 303 NUTTER CENTER, DAYTON, OH 45435
(937) 775-3827
(937) 775-4252
Mailing address
2398 GREENLAWN DR, BEAVERCREEK, OH 45434-7026
(937) 429-2643
(937) 775-4252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000319
OH
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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