NPI 1891440467

Dylan Montgomery

Practitioner Drama Therapist Shawnee, OK

Practice location

Address: 38004 Waco Rd, Shawnee, OK 74801-8720
Phone: (580) 229-3479

Registered specialties

Drama Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 101200000X

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Registry record

NPI: 1891440467
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2022
Record last updated: 13 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.