Montgomery, Althea

Montgomery, Althea is an individual health care provider with primary practice located at 10459 Tara Beach Cir , Jonesboro GA 30238-7955. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Montgomery, Althea can be contacted via phone (678) 230-7272.

Contact Information

Primary practice address
10459 Tara Beach Cir Jonesboro GA 30238-7955
Phone: (678) 230-7272
Fax: (770) 478-5214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056-005430 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 056-005430 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2534 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT0007107 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1586 Alabama
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist 226300000X 1263 Florida

Profile Details

NPI number 1457346769
LBN Legal business name Montgomery, Althea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Aug 14th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457346769 NPPES
Georgia MEDICAID 000902195A

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