Male or Other

Guadalupe Ortega

Occupational Therapy Assistant in Las Vegas, NV(View on Map)

Full Name

Guadalupe Ortega

NPI Number

1699870337

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/14/2006

Specialties

(Taxonomies)

Code

224Z00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

4912 PEARL MOUNTAIN CT
630 S RANCHO DR

City

N Las Vegas
Las Vegas

State

NV
NV

Postal Code

89031-0390
89106-4873

Country

US
US

Telephone Number

(702) 646-4033
(702) 878-2244

Identifiers

Identifier

1158

Identifier State

NV

Identifier Issuer

LICENSE #

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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