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General NPI Number Information
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NPI Number | 1326450875
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Entity Type | Individual
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Provider Name | AMANDA ORTIZ DI
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Gender | Female
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 9 WAVELAND AVE
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City | WINCHESTER
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State | KY
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Zip | 40391-1231
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Country | US
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Telephone | 855-584-5845
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Fax | 855-584-7323
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Provider Business Mailing Address
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Address Line | 4603 TIMBERWALK CT
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City | LA GRANGE
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State | KY
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Zip | 40031-6746
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Country | US
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Telephone | 703-864-6695
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Fax | 888-830-3233
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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