Individual
JESSICA LUANNE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
831 TEHUACANA HWY, MEXIA, TX 76667
(254) 562-3867
Mailing address
494 LCR 240, MEXIA, TX 76667-2094
(254) 300-2460
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2071787
TX
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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