MEDICARE: MONICA WARNER

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
1	225X00000X	Occupational Therapist	OC000360L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100626020	OTHER	PA	MA

General Provider Information

NPI Number	:	1073709317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA WARNER

Provider Business Mailing Address
First Line	:	4224 GREYWOOD DR
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-7222
Country	:	US
Telephone Number	:	717-870-9641
Fax Number	:

Provider Business Practice Location Address
First Line	:	4224 GREYWOOD DR
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-7222
Country	:	US
Telephone Number	:	717-870-9641
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2007
Last Update Date	:	06/24/2010

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Directions to “ MONICA WARNER ” Practice Location

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