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Individual

DOMINIC MONTALTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
712 N ELLINGTON PKWY STE 6, LEWISBURG, TN 37091-2454
(931) 359-1913
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7809
TN

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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