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Individual

JUSTICE MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
561 N LINE ST, COLUMBIA CITY, IN 46725-1254
(260) 702-0400
Mailing address
4251 LAHMEYER RD, FORT WAYNE, IN 46815-5676
(260) 432-4700

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013700A
IN

Other

Enumeration date
09/11/2020
Last updated
09/11/2020
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