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Individual

ANA MONTIJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
311 MAPLETON AVE, BOULDER, CO 80301-9130
(303) 440-2273
Mailing address
2319 EMERY PL, LONGMONT, CO 80501-1153
(303) 774-0817

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004943
NY
225100000X
Physical Therapist
Primary
5916
CO

Other

Enumeration date
02/07/2012
Last updated
02/07/2012
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