Austin Montgomery

NPI #1184143950 in Southlake, Texas

Provider Information

NPI Number: 1184143950
Entity Type: Individual
Name: Austin Montgomery
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 13, 2017
Last Updated: Sep 13, 2017

Practice Location

Address: 2813 W SOUTHLAKE BLVD STE 110
City: Southlake
State: Texas
ZIP Code: 76092-6832
Phone: (817) 310-8780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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