Individual
AMALIA JULIETA MONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5610 NW 107TH AVE APT 1310, DORAL, FL 33178-4940
(305) 878-2002
Mailing address
5610 NW 107TH AVE APT 1310, DORAL, FL 33178-4940
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA49614
FL
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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