Individual
MISS HOLLY S MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
601 W LOOP 340, WACO, TX 76712-6840
(254) 399-8255
(254) 235-3408
Mailing address
601 W LOOP 340, WACO, TX 76712-6840
(254) 399-8255
(254) 235-3408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.007835
IL
225X00000X
Occupational Therapist
Primary
112860
TX
Other
Enumeration date
12/12/2006
Last updated
07/17/2019
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