RAUL ALEJANDRO ORTEGA

NILES, MI
NPI1225661861
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502006101)
Enumeration Date2020-02-21
Last Update Date2020-02-21
Business Address
RAUL ALEJANDRO ORTEGA
1211 STATELINE RD
NILES, MI 49120-4729
Phone number: 269-684-2810
Mailing Address
RAUL ALEJANDRO ORTEGA
10186 US HIGHWAY 31
BERRIEN SPRINGS, MI 49103-9548
Phone number: 402-707-3139