Individual
MS. ANGELA NICHOLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
215 DAVIS RD, OSSIAN, IN 46777-9230
(260) 622-7821
Mailing address
4402 FAIRFIELD AVE, FORT WAYNE, IN 46807-2717
(260) 273-3021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006258A
IN
Other
Enumeration date
10/24/2018
Last updated
08/28/2023
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