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1235476615
TERESA NICOLE MONTGOMERY
PLACERVILLE, CA
NPI
1235476615
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Former Name
TERESA NICOLE BAKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 39183)
Enumeration Date
2013-01-06
Last Update Date
2013-01-06
Business Address
-- TERESA NICOLE MONTGOMERY DPT
3084 CEDAR RAVINE RD
PLACERVILLE, CA 95667-5617
Phone number: 530-621-2773
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Mailing Address
-- TERESA NICOLE MONTGOMERY DPT
3053 BRYAN CT
PLACERVILLE, CA 95667-3344
Phone number: 530-306-5156
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