Provider Demographics
NPI:1982379400
Name:ORTIZ, ARACELI (OTR)
Entity Type:Individual
Prefix:
First Name:ARACELI
Middle Name:
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20841 W BROCKTON CT
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-9572
Mailing Address - Country:US
Mailing Address - Phone:773-949-4402
Mailing Address - Fax:
Practice Address - Street 1:20841 W BROCKTON CT
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-9572
Practice Address - Country:US
Practice Address - Phone:773-949-4402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty