Individual
ELANIE MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4996 E MEDITERRANEAN DR STE D, SIERRA VISTA, AZ 85635-2434
(520) 249-7595
Mailing address
831 E 7TH ST, DOUGLAS, AZ 85607-2926
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6544
AZ
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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