Individual
MS. BAMBI RENAE MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2434 RICHMILLER LN UNIT B, BELPRE, OH 45714-1075
(740) 423-1500
(740) 423-1504
Mailing address
1500 GRAND CENTRAL AVE STE 101, VIENNA, WV 26105-1079
(304) 693-2781
(304) 693-2171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001347
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157773000
—
WV
05
—
2197457
—
OH
Enumeration date
05/11/2006
Last updated
09/19/2023
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