Individual
BRANDON MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6022 HARVEY ST STE H, MUSKEGON, MI 49444-8802
(231) 799-8883
(231) 799-8884
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 824-9335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019639
MI
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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