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1053639211
ANDREA LYNN MONTGOMERY
SAINT CHARLES, MO
NPI
1053639211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2007004518)
Enumeration Date
2010-05-12
Last Update Date
2018-07-24
Business Address
-- ANDREA LYNN MONTGOMERY PT
1551 WALL ST
SAINT CHARLES, MO 63303-3539
Phone number: 636-947-1666
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Mailing Address
-- ANDREA LYNN MONTGOMERY PT
15 APEX DR
HIGHLAND, IL 62249-1282
Phone number: 618-651-0444
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