Provider Demographics
NPI:1649493768
Name:ORTIZ-DUNCAN, LORETTA MARIE (COTA)
Entity type:Individual
Prefix:MRS
First Name:LORETTA
Middle Name:MARIE
Last Name:ORTIZ-DUNCAN
Suffix:
Gender:
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1094 COYNER SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-9056
Mailing Address - Country:US
Mailing Address - Phone:540-977-2399
Mailing Address - Fax:
Practice Address - Street 1:3585 BRAMBLETON AVE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-6521
Practice Address - Country:US
Practice Address - Phone:540-779-1029
Practice Address - Fax:540-776-1038
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1034557224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant