Individual
DR. PATRICIA C MONTGOMERY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT,PHD
Contact information
Practice address
10721 SMETANA RD, #220, MINNETONKA, MN 55343-8080
(952) 936-9215
(952) 936-9942
Mailing address
10721 SMETANA RD, #220, MINNETONKA, MN 55343-8080
(952) 936-9215
(952) 936-9942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
979
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46739MO
BLUECROSS/BLUESHIELD
MN
01
—
64-11025
MEDICA
MN
01
—
HP15308
HEALTHPARTNERS
MN
Enumeration date
08/23/2005
Last updated
07/09/2007
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