Individual
MISS JESSICA MARIA MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
408 N. CANYON, CARLSBAD, NM 88220
(575) 234-3300
(575) 234-3366
Mailing address
408 N. CANYON, CARLSBAD, NM 88220
(575) 234-3300
(575) 234-3366
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2229
NM
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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