Individual
MS. AILLENE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2600 RAPP MONTGOMERY RD, BEAVER, OH 45613-9431
(740) 835-7902
Mailing address
2600 RAPP MONTGOMERY RD, BEAVER, OH 45613-9431
(740) 835-7902
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1540
OH
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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