Provider Demographics
NPI:1104981190
Name:MONTANO, ERIN LEIGH (OT)
Entity type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:LEIGH
Last Name:MONTANO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 SPOFFORD RD
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01607-1634
Mailing Address - Country:US
Mailing Address - Phone:508-753-5138
Mailing Address - Fax:
Practice Address - Street 1:54 SPOFFORD RD
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01607-1634
Practice Address - Country:US
Practice Address - Phone:508-753-5138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8800225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist