Individual
MRS. LEA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25660 MAGNOLIA PINES DR, MAGNOLIA, TX 77355-1891
(281) 356-1251
Mailing address
25660 MAGNOLIA PINES DR, MAGNOLIA, TX 77355-1891
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210201
TX
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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