Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 0010836 | CO |
NPI | 1316312184 |
---|---|
Provider Name | Alice Caroline Monaco |
First Address | Colorado Springs, CO 80909-1696 |
Second Address | Colorado Springs, CO 80909-1696 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2015 |
Last Update Date | 04/12/2015 |