Ortiz, Amanda Ann
Ortiz, Amanda Ann is an sole proprietor health care provider with primary practice located at 1218 79Th St , Kenosha WI 53143-6111. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ortiz, Amanda Ann can be contacted via phone (262) 658-9500.Contact Information
Primary practice address
1218 79Th St
Kenosha WI 53143-6111
Phone: (262) 658-9500
Fax: (262) 764-0751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 5548-26 | Wisconsin |
Profile Details
| NPI number | 1093100042 |
|---|---|
| LBN Legal business name | Ortiz, Amanda Ann |
| Credentials | MS, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2015 |
| Last updated | Nov 14th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093100042 | NPPES |
| Wisconsin | MEDICAID | 100052780 |
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