Provider Demographics
NPI:1851440408
Name:MONTEMAYOR, CHRISTINE FAJARDO (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINE
Middle Name:FAJARDO
Last Name:MONTEMAYOR
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:8500 BLUFFSTONE CV STE A201
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-7846
Mailing Address - Country:US
Mailing Address - Phone:800-967-4667
Mailing Address - Fax:800-967-2382
Practice Address - Street 1:2020 TOWN CENTER WEST WAY
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-7575
Practice Address - Country:US
Practice Address - Phone:916-999-7230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2021-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA29186225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist