Provider Demographics
NPI:1841429677
Name:HUNTER, MONCIA FANCHON (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MONCIA
Middle Name:FANCHON
Last Name:HUNTER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 ARLINGTON AVE
Mailing Address - Street 2:#1X
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1402
Mailing Address - Country:US
Mailing Address - Phone:917-559-1348
Mailing Address - Fax:
Practice Address - Street 1:5800 ARLINGTON AVE
Practice Address - Street 2:#1X
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1402
Practice Address - Country:US
Practice Address - Phone:917-559-1348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009516-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist