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Individual
KELLY MONTGOMERY
Active
Individual
KELLY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
34524
FL
225100000X
Physical Therapist
5501018040
MI
Other
Enumeration date
02/23/2018
Last updated
08/25/2020
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