Organization
ANDREA MONTIJO
Active
Other names
AQUA PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MONTIJO (OWNER)
(760) 352-5582
Entity
Organization
Contact information
Practice address
561 W MAIN ST, EL CENTRO, CA 92243-7917
(760) 352-5582
Mailing address
561 W MAIN ST, EL CENTRO, CA 92243-7917
(760) 352-5582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10131
CA
225100000X
Physical Therapist
PT8074
CA
Other
Enumeration date
01/09/2009
Last updated
10/19/2012
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