Provider Demographics
NPI:1508273962
Name:TITUS, MONICA HAWKINS
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:HAWKINS
Last Name:TITUS
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 1:1702 TREE DUCK CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7114
Mailing Address - Country:US
Mailing Address - Phone:301-233-2268
Mailing Address - Fax:
Practice Address - Street 1:9111 EDMONSTON RD
Practice Address - Street 2:100
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1544
Practice Address - Country:US
Practice Address - Phone:301-233-2268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist