Individual
CORLEY MONTFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5312 TREMONT ST, DALLAS, TX 75214-5044
(214) 394-2224
Mailing address
5312 TREMONT ST, DALLAS, TX 75214-5044
(214) 394-2224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112243
TX
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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