Individual
DANIEL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6926 HILLS DR, NEW PORT RICHEY, FL 34653-2710
(727) 848-6747
Mailing address
10110 PEOPLES LOOP, PORT RICHEY, FL 34668-3319
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 7895
FL
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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