Provider Demographics
NPI:1902037005
Name:ZHOVKLYY, MONICA L (PT)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:L
Last Name:ZHOVKLYY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:L
Other - Last Name:BEARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1590 E RACINE DR
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-6412
Mailing Address - Country:US
Mailing Address - Phone:520-361-1800
Mailing Address - Fax:520-361-3656
Practice Address - Street 1:HC 1 BOX 9110
Practice Address - Street 2:
Practice Address - City:SELLS
Practice Address - State:AZ
Practice Address - Zip Code:85634-9744
Practice Address - Country:US
Practice Address - Phone:520-361-1800
Practice Address - Fax:520-361-3656
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8564225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist