Individual
LEAH DANIELLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2300 N BROADWAY ST, POTEAU, OK 74953-2009
(918) 962-0198
Mailing address
2300 N BROADWAY ST, POTEAU, OK 74953-2009
(918) 962-0198
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1869
OK
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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