Provider Demographics
NPI:1043613920
Name:MONAHAN, ANN
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:MONAHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 TENNIS DR
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3378
Mailing Address - Country:US
Mailing Address - Phone:508-845-1000
Mailing Address - Fax:508-842-2445
Practice Address - Street 1:3 TENNIS DR
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-3378
Practice Address - Country:US
Practice Address - Phone:508-845-1000
Practice Address - Fax:508-842-2445
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner