Individual
ALISON ANN ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23400 MICHIGAN AVE STE P40, DEARBORN, MI 48124-1928
(313) 689-5188
Mailing address
5830 BAILEY ST, TAYLOR, MI 48180-1257
(313) 802-1124
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005556
MI
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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