| NPI | 1669530903 |
|---|---|
| Former Name | SONYA LEE MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TNPTA1891) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ALPTA762) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |