NPI 1063687853
Katrina Brooke Ortiz, MSCCCSLP
Practice location
- Address
- 500 Tiger Blvd, Bentonville, AR 72712-4208
- Phone
- (479) 254-5510
- Mailing address
- 1300 Chitwood St, Pea Ridge, AR 72751-2740
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1063687853
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Apr 2008
- Record last updated
- 23 Apr 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.