Individual
MRS. JESSICA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
365 E BIRD VILLAGE RD, JACKSON, NJ 08527-4642
(732) 415-8098
Mailing address
365 E BIRD VILLAGE RD, JACKSON, NJ 08527-4642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01262100
NJ
225100000X
Physical Therapist
PT21811
FL
Other
Enumeration date
05/10/2007
Last updated
11/18/2014
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