Individual
MRS. KRISTIAN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3267 SW CONSTELLATION RD, PORT ST LUCIE, FL 34953-4637
(504) 275-8333
Mailing address
1193 SE PORT ST LUCIE BLVD, PMB# 107, PORT ST LUCIE, FL 34952-5332
(504) 275-8333
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
09/30/2024
Last updated
11/14/2024
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