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Individual

ERICA A MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
6500 THAYER CTR, OAKLAND, MD 21550-1116
(301) 334-1863
(301) 334-5835
Mailing address
6500 THAYER CTR, OAKLAND, MD 21550-1116
(301) 334-1863
(301) 334-5835

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06338
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186300200
MD
Enumeration date
07/13/2009
Last updated
07/13/2009
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