Provider Demographics
NPI:1972004521
Name:MONEER, JAMES LEWIS (MOTR/L)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LEWIS
Last Name:MONEER
Suffix:
Gender:M
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 W SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:OH
Mailing Address - Zip Code:45885-2247
Mailing Address - Country:US
Mailing Address - Phone:419-230-2972
Mailing Address - Fax:
Practice Address - Street 1:1001 MYERS RD
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-1137
Practice Address - Country:US
Practice Address - Phone:419-586-6645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH007921225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist