Provider Demographics
NPI:1396547592
Name:MONTOYA MORA, SARAY (PT, DPT)
Entity type:Individual
Prefix:
First Name:SARAY
Middle Name:
Last Name:MONTOYA MORA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16341 SPRING CREEK DR
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:CA
Mailing Address - Zip Code:95366-2225
Mailing Address - Country:US
Mailing Address - Phone:209-559-6329
Mailing Address - Fax:
Practice Address - Street 1:16341 SPRING CREEK DR
Practice Address - Street 2:
Practice Address - City:RIPON
Practice Address - State:CA
Practice Address - Zip Code:95366-2225
Practice Address - Country:US
Practice Address - Phone:209-559-6329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3032132251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics