Montgomery, Susan A

Montgomery, Susan A is an individual health care provider with primary practice located at 4613 Bee Cave Rd Ste 202 , West Lake Hills TX 78746-5212. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Montgomery, Susan A can be contacted via phone (512) 306-1707.

Contact Information

Primary practice address
4613 Bee Cave Rd Ste 202 West Lake Hills TX 78746-5212
Phone: (512) 306-1707
Fax: (512) 306-7380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 103036 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 103036 Texas

Profile Details

NPI number 1093813107
LBN Legal business name Montgomery, Susan A
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 4th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093813107 NPPES
Texas Other 81973T BCBS
Texas Other 103036 BCBS

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