Provider Demographics
NPI:1184943755
Name:MONTALVO, ARMANDO (OTR)
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:MONTALVO
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 QUARTZ ST
Mailing Address - Street 2:
Mailing Address - City:PENITAS
Mailing Address - State:TX
Mailing Address - Zip Code:78576-8272
Mailing Address - Country:US
Mailing Address - Phone:956-424-2315
Mailing Address - Fax:
Practice Address - Street 1:8305 N LA HOMA RD STE C
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-5469
Practice Address - Country:US
Practice Address - Phone:956-581-9911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-21
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112651225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics