Individual
MISS NIDYA Y MONTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Mailing address
4340 WHITTNER DR, LAND O LAKES, FL 34639-6203
(813) 362-2772
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27524
FL
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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