Individual
MRS. COLLEEN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 KEATING RD, BATESVILLE, MS 38606-8301
(662) 563-2345
Mailing address
640 KEATING RD, BATESVILLE, MS 38606-8301
(662) 563-2345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1824
MS
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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