Individual
ERICA JEAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1050 N JAMES M CAMPBELL BLVD STE 200, COLUMBIA, TN 38401-2754
(931) 490-1325
(931) 490-1369
Mailing address
PO BOX 9118, MINNEAPOLIS, MN 55480-9118
(865) 243-8152
(865) 692-2352
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2562
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q027309
—
TN
Enumeration date
06/27/2007
Last updated
11/09/2022
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