Provider Demographics
NPI:1316088859
Name:ORTEGA-BONDI, CECILIA (PT)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:ORTEGA-BONDI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:
Other - Last Name:CECIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2604 GLENLOCK CT
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-2303
Mailing Address - Country:US
Mailing Address - Phone:386-789-0409
Mailing Address - Fax:386-532-9612
Practice Address - Street 1:820 COMMED BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8321
Practice Address - Country:US
Practice Address - Phone:386-775-7488
Practice Address - Fax:386-775-9115
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT12095225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist