Individual
ANA LUISA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1200 E LANE ST, LAREDO, TX 78040-7210
(956) 722-0031
Mailing address
1206 WHISPER HILL DR, LAREDO, TX 78045-6301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209553
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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