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Contact Information

DYLAN MONTGOMERY
38004 WACO RD
SHAWNEE, OK74801-8720
 Phone: 580-229-3479
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Drama Therapist

101200000X
Indicates primary specialty

NPI Profile & details for DYLAN MONTGOMERY · (Male)

NPI Number 1891440467
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2022
Last updated 02/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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