| NPI | 1720299878 |
|---|---|
| Former Name | CAMMY MONTAGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2020032454) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-02303) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-03-28 |