Individual
DARCIE MONINGKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 HAMPSHIRE RD STE P, WESTLAKE VILLAGE, CA 91361-6020
(805) 852-5055
Mailing address
319 OHIO ST APT 14, PASADENA, CA 91106-4240
(951) 208-9693
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XR0403X
Driving and Community Mobility Occupational Therapist
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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