Healthcare Provider Details

I. General information

NPI: 1710399571
Provider Name (Legal Business Name): MONICA POWERS LPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 GERARD DR
NORWALK OH
44857-2497
US

IV. Provider business mailing address

16 GERARD DR
NORWALK OH
44857-2497
US

V. Phone/Fax

Practice location:
  • Phone: 419-681-2441
  • Fax:
Mailing address:
  • Phone: 419-681-2441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT007314
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: