Provider Demographics
NPI:1982183489
Name:CALDERON, MONICA (OTR)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CALDERON
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 1:8325 LENEXA DR STE 150
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1654
Mailing Address - Country:US
Mailing Address - Phone:913-652-9229
Mailing Address - Fax:
Practice Address - Street 1:110 MCDONALD DR
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1055
Practice Address - Country:US
Practice Address - Phone:785-832-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-03282225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist