Provider Demographics
NPI:1942414073
Name:BRALLIER, MONICA MARIA (OTR)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:MARIA
Last Name:BRALLIER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22722 APRIL SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2263
Mailing Address - Country:US
Mailing Address - Phone:281-395-1810
Mailing Address - Fax:
Practice Address - Street 1:6300 IRVINGTON BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-5618
Practice Address - Country:US
Practice Address - Phone:713-694-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109749225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist