Individual
EIBLISH TOBIN MONIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1102 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(434) 979-8628
(434) 979-8536
Mailing address
1102 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(434) 979-8628
(434) 979-8536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004551
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119004551
STATE LICENSE
VA
Enumeration date
09/20/2017
Last updated
07/21/2022
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