Individual
ANDREA JEANETTE MONTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
10309 DUNBAR ST NW, ALBUQUERQUE, NM 87114-5522
(505) 459-7407
Mailing address
10309 DUNBAR ST NW, ALBUQUERQUE, NM 87114-5522
(505) 459-7407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1286
NM
Other
Enumeration date
05/27/2012
Last updated
05/27/2012
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