Basic Information
| Provider Information | |||||||||
| NPI: | 1518324433 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MONTEGUE | ||||||||
| FirstName: | LINDA | ||||||||
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| Credential: | OT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6202 CRAIGWAY RD | ||||||||
| Address2: | |||||||||
| City: | SPRING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773895205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7138994415 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1525 TULL DR | ||||||||
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| City: | KATY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774495099 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2815781600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2016 | ||||||||
| LastUpdateDate: | 01/22/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 103570 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.