Individual
IDALMIS MONTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6632 HANLEY RD, TAMPA, FL 33634-4704
(813) 884-5390
(813) 885-2958
Mailing address
1901 W OKALOOSA AVE, TAMPA, FL 33604-1025
(813) 928-6380
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 39946
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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