Individual
CHARLESE MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27240 HAGGERTY RD, SUITE E15, FARMINGTON HILLS, MI 48331-5716
(866) 991-0900
Mailing address
4914 BRIDGEWOOD DR, DURHAM, NC 27713-8126
(866) 991-0900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7452
NC
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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