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MRS. DIANA LYNN MONTGOMERY

>> Orthotics/Prosthetics Fitter >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1336148808

Individual Registrant:
MRS. DIANA LYNN MONTGOMERY 
Gender: F

Location and contact information for practice:
60 LONG AVE  PARSONS, TN 38363-2429 US
Tel: 731-847-3676  Fax: 731-847-6290

Contact information for business:
60 LONG AVE  PARSONS, TN 38363-2429 US
Tel: 731-847-3676  Fax: 731-847-6290

Registration Information:
NPI: 1336148808
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225000000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Orthotics/Prosthetics Fitter

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS4021848TN01
4251420001TN04
TLC31635TN01




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