Individual
MONICA MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61888
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500726619
—
OR
01
—
R194320
MEDICARE
OR
01
—
R195538
MEDICARE
OR
Enumeration date
05/12/2017
Last updated
07/21/2022
Update your record
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