Individual
DIANA AVERY-MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
TROY UNIVERSITY, 3230 STADIUM TOWER, TROY, AL 36082-0001
(334) 670-3723
Mailing address
3230 STADIUM TOWER, TROY UNIVERSITY, TROY, AL 36082
(334) 670-3723
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
340
AL
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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