Individual
MS. MIA BIANCA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3920 LIVINGSTON ST, HYATTSVILLE, MD 20781-1739
(313) 286-7142
Mailing address
3920 LIVINGSTON ST, HYATTSVILLE, MD 20781-1739
(313) 286-7142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT870925
DC
Other
Enumeration date
11/05/2008
Last updated
04/25/2020
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