Most Relevant Information
Provider Data
| NPI Number: | 1003654955 |
| Provider Name: | SAMUEL VICTOR ORTBAL |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/16/2024 |
| Last Updated: | 07/16/2024 |
Provider Practice Location
239 E MARKET ST
WEST CHESTER
PA
193822739
Practice Location Phone/Fax
| Phone: | 8556872410 |
| Fax: |
Provider Mailing Location
605 SHROPSHIRE DR
WEST CHESTER
PA
193822229
Provider Mailing Phone/Fax
| Phone: | 7178606113 |
| Fax: |