Individual
LIA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
101 BRADDOCK RD, FROSTBURG, MD 21532-2303
(410) 446-5630
Mailing address
6011 HIGHGATE DR, BALTIMORE, MD 21215-3705
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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