Individual
STEVE MONYONCHO,
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
825 W KEARNEY ST, MESQUITE, TX 75149-3206
(972) 288-7668
Mailing address
825 W KEARNEY ST, MESQUITE, TX 75149-3206
(972) 288-7668
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213530
TX
224ZE0001X
Environmental Modification Occupational Therapy Assistant
213540
TX
Other
Enumeration date
11/30/2016
Last updated
02/17/2017
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