Individual
JONATHAN ALEXIS MONCADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 COX RD, GASTONIA, NC 28054-3453
(704) 867-7455
Mailing address
227 HILLTOP AVE SW, CONCORD, NC 28025-5331
(704) 906-6745
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16395
NC
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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