Individual provider · Type 1 NPI

Tina M. Montgomery, COTA/L

Occupational Therapy Assistant · Centralia, MO

NPI number 1629347331 Active

Practice location

736 Poole St
Centralia, MO 65240-1638

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2011000739 (MO)

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…

About NPI 1629347331

Tina M. Montgomery, COTA/L's National Provider Identifier is 1629347331, issued on Dec 26, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Centralia, MO. The record was last updated on Dec 26, 2011.