Montgomery, Avanleigh
Montgomery, Avanleigh is an sole proprietor health care provider with primary practice located at 613 S Knik Goose Bay Rd Ste E , Wasilla AK 99654-8090. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Montgomery, Avanleigh can be contacted via phone (907) 317-5895.Contact Information
Primary practice address
613 S Knik Goose Bay Rd Ste E
Wasilla AK 99654-8090
Phone: (907) 317-5895
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 60975822 | Washington |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 191274 | Alaska |
Profile Details
NPI number | 1033840350 |
---|---|
LBN Legal business name | Montgomery, Avanleigh |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 17th, 2022 |
Last updated | Jun 17th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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