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NPI Code Detail

MEDICARE: SUSAN ORTIZ PT

MEDICARE: SUSAN ORTIZ PT
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 Therapist1175900TX

General Provider Information

NPI Number : 1760700488
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN ORTIZ PT
Provider Business Mailing Address
First Line : 2914 FAYETTE TRL
Second Line :
City : FRISCO
State : TX
Zip : 75034-4494
Country : US
Telephone Number : 214-436-9990
Fax Number :
Provider Business Practice Location Address
First Line : 4409 HELSTON DR
Second Line :
City : PLANO
State : TX
Zip : 75024-3748
Country : US
Telephone Number : 214-566-2687
Fax Number : 866-323-1955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2010
Last Update Date : 05/05/2010

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Directions to “ SUSAN ORTIZ PT” Practice Location

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