Individual
EDMEE DELISSE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2275 FORTUNE RD, KISSIMMEE, FL 34744-4404
(407) 348-2060
Mailing address
2230 VILLA VERANO WAY APT 302, KISSIMMEE, FL 34744-5985
77258455526
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27815
FL
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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