Individual
MARIA LEAH E MONTECILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
213 E BUTLER RD BLDG E2, MAULDIN, SC 29662-2172
(864) 346-0391
(678) 840-2112
Mailing address
PO BOX 369, SIMPSONVILLE, SC 29681-0369
(864) 329-4211
(678) 840-2112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2846
SC
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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