Provider Demographics
NPI:1821319708
Name:HARPER, MONA LYNN ((PT))
Entity Type:Individual
Prefix:
First Name:MONA
Middle Name:LYNN
Last Name:HARPER
Suffix:
Gender:F
Credentials:(PT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 SIGMA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4421
Mailing Address - Country:US
Mailing Address - Phone:972-991-6777
Mailing Address - Fax:972-991-6361
Practice Address - Street 1:4350 SIGMA RD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4421
Practice Address - Country:US
Practice Address - Phone:972-991-6777
Practice Address - Fax:972-991-6361
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1069599225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist