| Doctor Name: | MS. THERESE THEA T. MONJARDIN |
| NPI Number: | 1124290887 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 2006007052 |
| Business Practice Address: | 716 18th St Charleston, IL - 619202382 |
| Business Phone Number: | 4172911655 |
| Business Fax Number: | |
| Mailing Address: | 716 18th St, CHARLESTON |
| State: | IL |
| Postal Code: | 619202382 |
| Phone Number: | 2173457054 |
| Fax Number: | |
| NPI Enumeration Date: | 04/01/2008 |
| NPI Last Update Date: | 02/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2006007052 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |