Provider Demographics
NPI:1629282058
Name:SANCHEZ, MONICA ALICIA (MS PT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:ALICIA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2944
Mailing Address - Country:US
Mailing Address - Phone:646-345-3047
Mailing Address - Fax:
Practice Address - Street 1:3A S MAIN ST
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1537
Practice Address - Country:US
Practice Address - Phone:732-625-9482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016208225100000X
NJ40QA01000900225100000X
VAPTL.0015178225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist