Individual provider · Type 1 NPI

Jesse Robertson Montgomery, COTA/L

Occupational Therapy Assistant · Murray, UT

NPI number 1376007575 Active

Practice location

5121 S Cottonwood St
Murray, UT 84107-5701

Mailing address

5 E 5900 S
Murray, UT 84107-7254

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X9852709-4202 (UT)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1376007575

Jesse Robertson Montgomery, COTA/L's National Provider Identifier is 1376007575, issued on Jan 22, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Murray, UT. The record was last updated on Jan 22, 2019.