| NPI | 1912198987 |
|---|---|
| Former Name | HOLLY ELIZABETH MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AR O-T0733) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR O-T0733) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |