Individual
MR. MARK F ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 944-9060
(201) 461-7165
Mailing address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 944-9060
(201) 461-7165
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00068300
NJ
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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