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1386957413
RICHARD CHARLES ORTIZ
GRAND TERRACE, CA
NPI
1386957413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 6456)
Enumeration Date
2010-07-18
Last Update Date
2011-02-16
Business Address
Mr. RICHARD CHARLES ORTIZ PT
22908 WREN ST
GRAND TERRACE, CA 92313-5580
Phone number: 951-990-6578
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Mailing Address
Mr. RICHARD CHARLES ORTIZ PT
22908 WREN ST
GRAND TERRACE, CA 92313-5580
Phone number: 951-990-6578
Copy
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