Individual
MARIO MONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
674 SUNNY SANDS DR, CHAPARRAL, NM 88081-7422
(915) 820-9779
Mailing address
674 SUNNY SANDS DR, CHAPARRAL, NM 88081-7422
(915) 820-9779
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218089
TX
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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