Individual
MARK MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
28 ROTUNDA CIR, ASHEVILLE, NC 28806-0005
(330) 705-1892
Mailing address
28 ROTUNDA CIR, ASHEVILLE, NC 28806-0005
(330) 705-1892
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1058
OH
225200000X
Physical Therapy Assistant
Primary
A4994
NC
Other
Enumeration date
04/04/2007
Last updated
02/14/2013
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