Individual
NICOLE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 W FEDERAL ST, NILES, OH 44446-1804
(407) 729-4829
Mailing address
421 W FEDERAL ST, NILES, OH 44446-1804
(407) 729-4829
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215165
TX
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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