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1326273541
KATHLEEN ANN MONTGOMERY
URBANA, IL
NPI
1326273541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.004950)
Enumeration Date
2009-05-18
Last Update Date
2009-05-18
Business Address
MRS. KATHLEEN ANN MONTGOMERY LPTA
1706 E AMBER LN
URBANA, IL 61802-6907
Phone number: 217-365-0299
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Mailing Address
MRS. KATHLEEN ANN MONTGOMERY LPTA
1706 E. AMBER LANE
URBANA, IL 61802
Phone number: 217-365-0299
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