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NPI Code Detail

MEDICARE: KIRSTIN MARIE ORTIZ MT-BC

MEDICARE: KIRSTIN MARIE ORTIZ MT-BC
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
1225A00000XMusic Therapist17729PA

General Provider Information

NPI Number : 1588417240
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTIN MARIE ORTIZ MT-BC
Provider Business Mailing Address
First Line : 416 QUEEN ST APT B
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-3021
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 416 QUEEN ST APT B
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-3021
Country : US
Telephone Number : 215-320-2601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2024
Last Update Date : 04/10/2024

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Directions to “ KIRSTIN MARIE ORTIZ MT-BC” Practice Location

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