Individual
MRS. PATRICIA NADINE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2025
Mailing address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000006635
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4072170
BLUE CROSS/ BLUE SHIELD
TN
01
—
TN0100
JOHN DEERE
TN
Enumeration date
06/21/2006
Last updated
11/01/2007
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