Individual
BRANDIE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 N SMITH ST, WEIMAR, TX 78962-1814
(979) 725-8564
Mailing address
309 FOURTH ST, EAGLE LAKE, TX 77434
(832) 332-0813
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2134351
TX
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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