Individual
JORDAN MARIE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6144 S TERESA DR, CHANDLER, AZ 85249-4887
(480) 433-6016
Mailing address
6144 S TERESA DR, CHANDLER, AZ 85249-4887
(480) 433-6016
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6864
AZ
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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