Individual
KARIE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225X00000X
Occupational Therapist
Primary
106406
MN
Other
Enumeration date
05/13/2015
Last updated
10/01/2021
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