Provider Demographics
NPI:1568413730
Name:MONAS ARK PLC
Entity Type:Organization
Organization Name:MONAS ARK PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MONA
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:SAMS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:540-966-4941
Mailing Address - Street 1:240 OLD MINE RD
Mailing Address - Street 2:
Mailing Address - City:TROUTVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24175-6628
Mailing Address - Country:US
Mailing Address - Phone:540-966-4941
Mailing Address - Fax:
Practice Address - Street 1:240 OLD MINE RD
Practice Address - Street 2:
Practice Address - City:TROUTVILLE
Practice Address - State:VA
Practice Address - Zip Code:24175-6628
Practice Address - Country:US
Practice Address - Phone:540-966-4941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty