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General NPI Number Information
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NPI Number | 1053279794
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Entity Type | Individual
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Provider Name | SOPHIA ELISA MONTOYA DPT
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3941 E BASELINE RD STE 101
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City | GILBERT
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State | AZ
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Zip | 85234-2750
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Country | US
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Telephone | 480-787-5387
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Fax |
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Provider Business Mailing Address
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Address Line | 4294 S SNOWCAP CT
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City | GILBERT
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State | AZ
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Zip | 85297-9678
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Country | US
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Telephone | 480-298-2135
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | LPT-034458
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License Number State | AZ
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