Provider Demographics
NPI:1972831899
Name:AYOUB, MONICA PARKER (OTR/L)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:PARKER
Last Name:AYOUB
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:PARKER
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:7801 KINCARDINE CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-4025
Mailing Address - Country:US
Mailing Address - Phone:703-229-7170
Mailing Address - Fax:
Practice Address - Street 1:2133 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-2655
Practice Address - Country:US
Practice Address - Phone:703-490-6517
Practice Address - Fax:703-490-3525
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005017225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist