Individual
LESLIE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
116 W THIGPEN AVE, LAKELAND, GA 31635-1011
(229) 482-8578
(229) 482-8556
Mailing address
116 W THIGPEN AVE, LAKELAND, GA 31635-1011
(229) 482-8578
(229) 482-8556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008094
GA
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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