Provider Demographics
NPI:1851981898
Name:EVERHART, MONICA MARIE (COTA/L)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:MARIE
Last Name:EVERHART
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:MARIE
Other - Last Name:STEEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:CALVIN
Mailing Address - State:PA
Mailing Address - Zip Code:16622-0205
Mailing Address - Country:US
Mailing Address - Phone:814-644-1960
Mailing Address - Fax:
Practice Address - Street 1:360 WESTMINSTER DR
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-2737
Practice Address - Country:US
Practice Address - Phone:814-644-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-23
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP008913208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation