Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | ||
N | 225XR0403X | Driving and Community Mobility |
NPI | 1942827688 |
---|---|
Provider Name | Darcie Moningka |
First Address | Pasadena, CA 91106-4240 |
Second Address | Westlake Village, CA 91361-6020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2020 |
Last Update Date | 29/06/2020 |