Miramontes, Judy

Miramontes, Judy is an individual health care provider with primary practice located at 380 Encinal St Ste 200 , Santa Cruz CA 95060-2178. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Miramontes, Judy can be contacted via phone (831) 469-1700.

Contact Information

Primary practice address
380 Encinal St Ste 200 Santa Cruz CA 95060-2178
Phone: (831) 469-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 5124-T California

Profile Details

NPI number 1326677386
LBN Legal business name Miramontes, Judy
Credentials RTC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2020
Last updated Apr 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326677386 NPPES
California Other 5124-T RECREATION THERAPY CERTIFIED

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