Provider Demographics
NPI:1407281884
Name:PEPPER, MONICA MARY (OT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:MARY
Last Name:PEPPER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 E WEST HWY
Mailing Address - Street 2:APT 811W
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4804
Mailing Address - Country:US
Mailing Address - Phone:301-512-3256
Mailing Address - Fax:
Practice Address - Street 1:1133 E WEST HWY
Practice Address - Street 2:APT 811W
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4804
Practice Address - Country:US
Practice Address - Phone:301-512-3256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013031955225X00000X
DCOT010000989225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist