IndividualActive
Andrea Ortega
NPI 1396149928 · Developmental Therapist · Boise, ID
Provider details
- NPI number
- 1396149928
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- SLPA9126 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Speech, Language and Hearing Service Providers
Practice location
2901 W Kathryn St
Boise, ID 83705-4138
Phone: (928) 502-9097
Approximate (ZIP-level) locationGet directions
Mailing address
2901 W Kathryn St
Boise, ID 83705-4138
Registry dates
- Enumerated
- 2014-10-10
- Last updated
- 2024-02-07
- Certified
- 2024-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.