Organization
INTEGRIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANN MARIE MONTGOMERY PT (PHYSICAL THERAPIST)
(918) 540-7736
Entity
Organization
Contact information
Practice address
310 2ND AVE SW, MIAMI, OK 74354-6743
(918) 540-7736
(918) 540-7739
Mailing address
310 2ND AVE SW, MIAMI, OK 74354-6743
(918) 540-7736
(918) 540-7739
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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