Indiana
Professional Licensing Agency
Beverly D. Montgomery
Occupational Therapy Assistant
License number
32002194A
Date granted
05/18/2012
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Leavenworth IN 47137
indianalicensing.org
ID 8276448
LAST UPDATED 2026-04-14 21:08:08 UTC
LAST UPDATED 2026-04-14 21:08:08 UTC
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