Individual
MR. FORREST GRANT MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT PHYSICAL THERAPIS
Contact information
Practice address
4300 WEST 7TH ST, LITTLE ROCK VA, LITTLE ROCK, AR 72205
(501) 257-6408
(501) 257-6419
Mailing address
105 DOGWOOD DRIVE, BENTON, AR 72019
(501) 909-1560
(501) 257-6419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
875
AR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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