Bradley Montgomery

NPI #1154445575 in Neosho, Missouri

Provider Information

NPI Number: 1154445575
Entity Type: Individual
Name: Bradley Montgomery
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 511 S NEOSHO BLVD
City: Neosho
State: Missouri
ZIP Code: 64850-2049
Phone: (417) 451-8682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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