Individual
MARTHA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2625 FOX POINTE DR, SUITE A, COLUMBUS, IN 47203-3278
(812) 314-2378
(812) 373-7616
Mailing address
2625 FOXPOINTE DR, SUITE A, COLUMBUS, IN 47203-3278
(812) 314-2378
(812) 373-7616
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000028A
IN
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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