Individual
MISS DONNA MIA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH,OTR
Contact information
Practice address
7540 N 19TH AVE, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
4750 N CENTRAL AVE APT 12P, PHOENIX, AZ 85012-1717
(602) 680-9564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2812
AZ
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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