Individual
LAUREN E MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 S SAN MARCOS ST, WHITNEY, TX 76692
(254) 694-2233
Mailing address
882 FM 2114, AQUILLA, TX 76622-2551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2077619
TX
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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