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NPI Code Detail

MEDICARE: MONICA NEVES OTR/L

MEDICARE:   MONICA  NEVES  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT11098CA

General Provider Information

NPI Number : 1740678929
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA NEVES OTR/L
Provider Business Mailing Address
First Line : 2206 EL MONTE DR
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-3525
Country : US
Telephone Number : 314-435-4388
Fax Number :
Provider Business Practice Location Address
First Line : 13223 BLACK MOUNTAIN RD # 1358
Second Line :
City : SAN DIEGO
State : CA
Zip : 92129-2698
Country : US
Telephone Number : 858-753-5082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2014
Last Update Date : 04/26/2021

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Directions to “ MONICA NEVES OTR/L” Practice Location

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