Individual
DONALD MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 OGDEN AVE, ESCANABA, MI 49829-3929
(737) 247-1133
Mailing address
505 OGDEN AVE, ESCANABA, MI 49829-3929
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212731
TX
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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