Individual
SUE MARIE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2225 N MAIN ST, MIAMI, OK 74354-1620
(918) 542-4101
(918) 542-4410
Mailing address
28860 S 595 CIR, GROVE, OK 74344-7752
(469) 432-3203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT4765
OK
225100000X
Physical Therapist
Primary
4765
OK
Other
Enumeration date
06/01/2007
Last updated
02/23/2022
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