Provider Demographics
NPI:1659316297
Name:DELL, MONICA LYNN (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LYNN
Last Name:DELL
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-2455
Mailing Address - Country:US
Mailing Address - Phone:903-821-8006
Mailing Address - Fax:
Practice Address - Street 1:1400 WILSON CREEK PKWY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-5320
Practice Address - Country:US
Practice Address - Phone:469-742-5953
Practice Address - Fax:469-742-5843
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT18082255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer