Shyvon Reese Montgomery
Occupational Therapist Occupational Therapist - Gerontology
540 Sunnyside Dr
Flushing
, Michigan 48433-1474
Shyvon Reese Montgomery
Occupational Therapist Occupational Therapist - Gerontology
540 Sunnyside Dr
Flushing
, Michigan 48433-1474
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Shyvon Reese Montgomery
- 540 Sunnyside Dr
- Flushing, MI
- Zip : 48433-1474
- Phone :
Second Address
- Shyvon Reese Montgomery
- 540 Sunnyside Dr
- Flushing, MI
- Zip : 48433-1474
- Phone : (810) 659-5695
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Is Shyvon Reese Montgomery a sole practitioner?
Is Shyvon Reese Montgomery accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 5201007149 | MI |
| Y | 225XG0600X | Occupational Therapist - Gerontology |
National Provider Identifier
| NPI | 1013486885 |
|---|---|
| Provider Name | Shyvon Reese Montgomery |
| First Address | Flushing, MI 48433-1474 |
| Second Address | Flushing, MI 48433-1474 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2018 |
| Last Update Date | 13/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1114966983 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.