Provider Demographics
NPI:1043425739
Name:DAWICKE, MONICA (OTR/L)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:DAWICKE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:KISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3830 TRUEMAN CT
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-2496
Mailing Address - Country:US
Mailing Address - Phone:614-228-5523
Mailing Address - Fax:614-228-8151
Practice Address - Street 1:3830 TRUEMAN CT
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2496
Practice Address - Country:US
Practice Address - Phone:614-228-5523
Practice Address - Fax:614-228-8151
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-005658225X00000X
OHOT - 005658225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist