Individual
MR. SAMUEL DAVID MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1340 WESTBANK EXPY, WESTWEGO, LA 70094-4712
(504) 371-4226
Mailing address
1340 WESTBANK EXPY, WESTWEGO, LA 70094-4712
(504) 371-4226
(504) 371-4228
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A11912
LA
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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