Individual
JESSICA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
4305 S POPLAR ST, CASPER, WY 82601-6106
(307) 237-2561
Mailing address
1610 S WILSON ST, CASPER, WY 82601-4027
(307) 267-7753
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1069-OT
WY
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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