Individual
MARICELA MONSIVAIZ
Active
Individual
MARICELA MONSIVAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1166050
TX
225100000X
Physical Therapist
Primary
3146
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07531869
—
NM
01
—
NM00Q505
BCBS NM
NM
Enumeration date
12/14/2006
Last updated
03/06/2008
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