Individual
MRS. GRACE MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3500 CLUBHOUSE LN, BOYNTON BEACH, FL 33436-6002
(561) 745-5925
Mailing address
2895 SE 2ND ST, BOYNTON BEACH, FL 33435-7644
(561) 385-4963
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1868
FL
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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