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General NPI Number Information
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NPI Number | 1366282204
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Entity Type | Individual
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Provider Name | GARRETT MONTAGUE PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 401 GREENS RD
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City | HOUSTON
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State | TX
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Zip | 77060-2101
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Country | US
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Telephone | 281-873-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 27525 VELVET SKY WAY
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City | SPRING
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State | TX
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Zip | 77386-4150
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Country | US
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Telephone | 678-986-7248
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1393226
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License Number State | TX
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