Doctor Name: | DR. NANCY PENROD MONNIE |
NPI Number: | 1154537033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 1094 |
Business Practice Address: | 16621 Champion Way Suite 100 Sandy, OR - 970557257 |
Business Phone Number: | 5036685321 |
Business Fax Number: | 5036689742 |
Mailing Address: | 1711 Se 26th Ct, GRESHAM |
State: | OR |
Postal Code: | 970805291 |
Phone Number: | 5036675880 |
Fax Number: | 5036696555 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |