Individual
ASHLEY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
5319 PERIDOT AVE, ALTA LOMA, CA 91701-1246
(909) 945-3084
Mailing address
5319 PERIDOT AVE, ALTA LOMA, CA 91701-1246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
37155
CA
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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