Provider Demographics
NPI:1174815559
Name:ORTZOW, CHRISTY LEE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:LEE
Last Name:ORTZOW
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5724 MEDALLION CT
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94552-1708
Mailing Address - Country:US
Mailing Address - Phone:510-889-7920
Mailing Address - Fax:
Practice Address - Street 1:5724 MEDALLION CT
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94552-1708
Practice Address - Country:US
Practice Address - Phone:510-889-7920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3640225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation