Individual
MRS. BRENDA TERESSA MONTALVO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
(910) 822-7955
Mailing address
3518 GRENEDINE DR, FAYETTEVILLE, NC 28306-5610
(910) 488-2120
(910) 822-7955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2594
NC
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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