Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | CO |
NPI | 1013468032 |
---|---|
Provider Name | Noemi Ortiz |
First Address | Colorado Springs, CO 80905-7397 |
Second Address | Greenwood Village, CO 80111-2903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2016 |
Last Update Date | 14/10/2016 |