Individual
CHARITY BROOK MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1301 N PINES RD, SPOKANE VALLEY, WA 99206-4964
(509) 922-5585
(509) 927-7336
Mailing address
1621 S VERA CREST DR, SPOKANE VALLEY, WA 99037-9036
(509) 216-1636
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00010692
WA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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