Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 0009592 | CO |
NPI | 1053446724 |
---|---|
Provider Name | Emily R. Moncheski |
First Address | Colorado Springs, CO 80906-1113 |
Second Address | Colorado Springs, CO 80906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 13/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C528828 | MEDICARE GROUP PTAN (01) | CO |
EM30620706P | EARLY INTERVENTION (01) | IL |