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NPI Code Detail

MEDICARE: JOVANNAH ORTIZ PT, DPT

MEDICARE: JOVANNAH ORTIZ PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1375886TX

General Provider Information

NPI Number : 1497432900
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOVANNAH ORTIZ PT, DPT
Provider Business Mailing Address
First Line : 4848 PIN OAK PARK APT 306
Second Line :
City : HOUSTON
State : TX
Zip : 77081-2276
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5505 WEST LOOP S STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77081-2206
Country : US
Telephone Number : 713-441-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2023
Last Update Date : 06/28/2023

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Directions to “ JOVANNAH ORTIZ PT, DPT” Practice Location

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