DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK F ORTIZ, P.T.A.

Active Sole Proprietor

MR. MARK F ORTIZ, P.T.A. is a Occupational Therapist healthcare provider located in FORT LEE, New Jersey. NPI 1952579179 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FORT LEE, NJ

Registration Details

NPI Number
1952579179
Provider Type
Individual
Gender
Male
NPI Issued
Feb 11, 2008 (18.478403651875 yrs)
Last Updated
Feb 11, 2008
License
40QB00068300 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1530 PALISADE AVE
FORT LEE, NJ, 070245471
Browse NJ providers · Browse ZIP 07024
Phone
2019449060
Fax
2014617165
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in FORT LEE, NJ

Name Credential NPI
MAHRSHI KIRITKUMAR PATEL PTA 1730781477
MR. ERICK K CHOI PTA 1588339238
EDUARDO T REYES III PTA 1093497562
JEEHOON YEO 1174360465
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.