Individual
CRYSTAL ADALIA MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 BROADWAY ST., STANTON, TX 79782
(432) 756-2841
(432) 756-2904
Mailing address
4400 N HOLIDAY HILL RD APT 1807, MIDLAND, TX 79707-3028
(432) 425-4852
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211039
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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