Provider Demographics
NPI:1578399606
Name:MONTOYA, ALYSSA VALERIE (OTR, OTD)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:VALERIE
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:OTR, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 E SANTA ROSA ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-8264
Mailing Address - Country:US
Mailing Address - Phone:361-218-2763
Mailing Address - Fax:
Practice Address - Street 1:5252 WESTCHESTER ST BLDG 255
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-4108
Practice Address - Country:US
Practice Address - Phone:713-360-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX125005225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist