Individual
SAMANTHA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31800 VAN DYKE AVE, WARREN, MI 48093-7907
(586) 722-2585
Mailing address
607 DEWEY AVE NW, GRAND RAPIDS, MI 49504-7335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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