Individual
MONIQUE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 KENSINGTON CT NE, FORT WALTON BEACH, FL 32547-1842
(850) 582-3102
Mailing address
624 KENSINGTON CT NE, FORT WALTON BEACH, FL 32547-1842
(850) 582-3102
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
04/12/2018
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