Provider Demographics
NPI:1275826042
Name:QUERY, MONIQUE NOELLE (DPT)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:NOELLE
Last Name:QUERY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 CLEVELAND ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-6915
Mailing Address - Country:US
Mailing Address - Phone:774-249-2757
Mailing Address - Fax:
Practice Address - Street 1:185 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1804
Practice Address - Country:US
Practice Address - Phone:617-636-5632
Practice Address - Fax:617-636-4722
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18689225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist