Individual
MRS. DIANE BETH MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
109 W JESSIE ST, RUSHFORD, MN 55971-8837
(507) 864-7726
Mailing address
420 E SARNIA ST, WINONA, MN 55987-6365
(507) 457-4329
(507) 453-3791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.004651
IL
225100000X
Physical Therapist
Primary
5501
MN
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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