Provider Demographics
NPI:1952641979
Name:WALDORF, MONICA MARIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:MARIE
Last Name:WALDORF
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:MONICA
Other - Middle Name:MARIE
Other - Last Name:JOSHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1101 OAKRIDGE DR UNIT C
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5536
Mailing Address - Country:US
Mailing Address - Phone:970-407-9999
Mailing Address - Fax:970-207-9844
Practice Address - Street 1:1101 OAKRIDGE DR UNIT C
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5536
Practice Address - Country:US
Practice Address - Phone:970-407-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003601225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist