Individual
GABRIELLE ALEXIS MONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1655 MCGILL AVE, MOBILE, AL 36604-1218
(251) 476-6335
Mailing address
101 VILLA DR, DAPHNE, AL 36526-4671
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5799
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5799
OTR/L LICENSE
AL
Enumeration date
04/20/2022
Last updated
04/20/2022
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