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Individual

PAMELA J MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1948 E CHESAPEAKE DR, OZARK, MO 65721-7815
(417) 551-3210
(888) 527-0428
Mailing address
836 HUMMINGBIRD RD, OZARK, MO 65721-7192
(417) 581-8907

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002223
MO

Other

Enumeration date
10/05/2009
Last updated
10/05/2009
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