Organization
COUNTY OF MONTGOMERY SCHOOL DIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MILLAM (DISTRICT COORDINATOR)
(573) 564-3710
Entity
Organization
Contact information
Practice address
418 N HIGHWAY 19, MONTGOMERY CITY, MO 63361-5217
(573) 564-3710
(573) 564-6182
Mailing address
418 N HIGHWAY 19, MONTGOMERY CITY, MO 63361-5217
(573) 564-3710
(573) 564-6182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506078302
—
MO
Enumeration date
02/08/2007
Last updated
06/14/2016
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