Individual
MS. DESIREE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
570 OCEAN DR, 501, JUNO BEACH, FL 33408-1952
(954) 491-2225
(954) 491-6862
Mailing address
5435 NW 10TH CT, #303, PLANTATION, FL 33313-6478
(954) 797-7077
(954) 797-7077
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA42651
LICENSED MASSAGE THERAPYST
FL
Enumeration date
03/20/2009
Last updated
03/20/2009
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