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Individual

NATASHA MONTGOMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
19 ELM RD, RIVA, MD 21140-1210
(540) 931-7224
Mailing address
19 ELM RD, RIVA, MD 21140-1210
(540) 931-7224

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
12460
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W20858684
AUGMENTING ABILITY
MD
Enumeration date
10/27/2020
Last updated
10/27/2020
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