Provider Demographics
NPI:1568425759
Name:ORTIZ-SWITZER, LILLIAN CHILGREN (PT)
Entity Type:Individual
Prefix:MRS
First Name:LILLIAN
Middle Name:CHILGREN
Last Name:ORTIZ-SWITZER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1973 N TRACY BLVD
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-2459
Mailing Address - Country:US
Mailing Address - Phone:209-833-9490
Mailing Address - Fax:209-833-9493
Practice Address - Street 1:1973 N TRACY BLVD
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-2459
Practice Address - Country:US
Practice Address - Phone:209-833-9490
Practice Address - Fax:209-833-9493
Is Sole Proprietor?:No
Enumeration Date:2006-04-09
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAP.T. 8356225100000X, 2251X0800X
CAP.T.83562251E1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic