Individual
TERRY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
804 STATE ST, STE 5, QUINCY, IL 62301-4968
(217) 224-1750
(217) 224-0403
Mailing address
804 STATE ST, STE 5, QUINCY, IL 62301-4968
(217) 224-1750
(217) 224-0403
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-005419
IL
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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