Provider Demographics
NPI:1275827289
Name:MONUS, STEPHANIE R (DPT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:R
Last Name:MONUS
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 1:1450 S CANFIELD NILES RD
Mailing Address - Street 2:
Mailing Address - City:AUSTINTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-4083
Mailing Address - Country:US
Mailing Address - Phone:330-270-3930
Mailing Address - Fax:330-270-3933
Practice Address - Street 1:1450 S CANFIELD NILES RD
Practice Address - Street 2:
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-4083
Practice Address - Country:US
Practice Address - Phone:330-270-3930
Practice Address - Fax:330-270-3933
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH013223225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist