Provider Demographics
NPI:1417843756
Name:MONTOYA, EVELYN (OT)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:MONTOYA
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 1:9847 NOB HILL CT
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-4605
Mailing Address - Country:US
Mailing Address - Phone:954-439-1416
Mailing Address - Fax:
Practice Address - Street 1:9847 NOB HILL CT
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-4605
Practice Address - Country:US
Practice Address - Phone:954-439-1416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist