Grace Mallis Montgomery
Grace Mallis Montgomery is a Speech-Language Pathologist in Tampa, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4707 W Gandy Blvd Ste 3Tampa, FL 33611-3310
Phone: (813) 728-6601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X |
|---|
Record details
| NPI number | 1063297430 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 25, 2023 |
| Last updated in NPPES | August 25, 2023 |
| Certification date | August 25, 2023 |
| Mailing address | 12831 Tikal Way, Trinity, FL 34655-7253 |
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