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ISIS MONTEAGUDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
6816 NW 179TH ST APT 106, HIALEAH, FL 33015-7420
(305) 502-8251
Mailing address
6816 NW 179TH ST APT 106, HIALEAH, FL 33015-7420
(305) 502-8251

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12297
FL
225700000X
Massage Therapist
51063
FL

Other

Enumeration date
04/16/2013
Last updated
04/16/2013
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