Individual
ROBERTA MONAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
613 S UNION AVE, APT B, PUEBLO, CO 81004-2252
(719) 766-8047
Mailing address
613 S UNION AVE, APT B, PUEBLO, CO 81004-2252
(719) 766-8047
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0004035
CO
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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