Individual
JANELLE MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 W MALONEY AVE, GALLUP, NM 87301
(505) 488-2615
Mailing address
1107 PIANO AVE, GALLUP, NM 87301-4911
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1150
NM
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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