Doctor Name: | MRS. KATHLEEN M MONZYK |
NPI Number: | 1093745507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 117828 |
Business Practice Address: | 245 Dunn Road Florissant, MO - 63031 |
Business Phone Number: | 3144470442 |
Business Fax Number: | 3144470443 |
Mailing Address: | 3868 Mexico Rd, ST CHARLES |
State: | MO |
Postal Code: | 63303 |
Phone Number: | 6369260408 |
Fax Number: | 6369260295 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 117828 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |