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NPI Code Detail

MEDICARE: MONICA DENISE CHARLES OTA

MEDICARE: MONICA DENISE CHARLES OTA
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
1224Z00000XOccupational Therapy Assistant210826TX

General Provider Information

NPI Number : 1841771326
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA DENISE CHARLES OTA
Provider Business Mailing Address
First Line : 3625 GREEN CREST DR
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4056
Country : US
Telephone Number : 281-558-1166
Fax Number :
Provider Business Practice Location Address
First Line : 3625 GREEN CREST DR
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4056
Country : US
Telephone Number : 281-558-1166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 08/23/2018

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Directions to “ MONICA DENISE CHARLES OTA” Practice Location

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