Individual
MRS. CYNTHIA MONTALBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
73 JUDKINS LN, HICKMAN, TN 38567-5060
(615) 489-0997
Mailing address
73 JUDKINS LN, HICKMAN, TN 38567-5060
(615) 489-0997
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2193
TN
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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