Individual
DIANA MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 E 21ST ST STE A6, CLOVIS, NM 88101-4435
(575) 763-9517
Mailing address
810 E 21ST ST STE A6, CLOVIS, NM 88101-4435
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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