Provider Demographics
NPI:1851050462
Name:SHUHALA, MONICA ASHLEY
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:ASHLEY
Last Name:SHUHALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1571 NE 32ND ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-5317
Mailing Address - Country:US
Mailing Address - Phone:954-802-6076
Mailing Address - Fax:
Practice Address - Street 1:1571 NE 32ND ST
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-5317
Practice Address - Country:US
Practice Address - Phone:954-802-6076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant