Individual
BRADLEY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 S NEOSHO BLVD, NEOSHO, MO 64850-2049
(417) 451-8682
(417) 451-8684
Mailing address
511 S NEOSHO BLVD, NEOSHO, MO 64850-2049
(417) 451-8682
(417) 451-8684
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003793
MO
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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