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Individual

MARIAH AMELIA MONTANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2310 VISTA DE COLINAS DR SE, RIO RANCHO, NM 87124-2950
(505) 867-9195
Mailing address
2310 VISTA DE COLINAS DR SE, RIO RANCHO, NM 87124-2950
(505) 867-9195

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1615
NM

Other

Enumeration date
10/21/2019
Last updated
10/21/2019
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