Individual
ELAINE MONTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6111 55TH AVENUE CIR E, BRADENTON, FL 34203-9755
(941) 726-5817
Mailing address
6111 55TH AVENUE CIR E, BRADENTON, FL 34203-9755
(194) 146-2068
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222Q00000X
—
FL
Enumeration date
07/09/2018
Last updated
01/23/2024
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