Individual
WILLIAM CODY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
103 PROFESSIONAL PARK DR, CONWAY, SC 29526-9261
(843) 353-3460
(843) 353-3461
Mailing address
330 WALLER AVE, LEXINGTON, KY 40504-2931
(859) 447-8600
(859) 447-8599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
125649
TX
225X00000X
Occupational Therapist
Primary
281273
KY
225X00000X
Occupational Therapist
282530
KY
225X00000X
Occupational Therapist
Primary
7911
SC
225X00000X
Occupational Therapist
OT.0008920
CO
225X00000X
Occupational Therapist
OT61659153
WA
225X00000X
Occupational Therapist
OTH-0009879
AZ
225X00000X
Occupational Therapist
OTH-009879
AZ
Other
Enumeration date
11/16/2022
Last updated
04/24/2026
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