Provider Demographics
NPI:1134765340
Name:KRISTEL, MONET M (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MONET
Middle Name:M
Last Name:KRISTEL
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3526 STURBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-1768
Mailing Address - Country:US
Mailing Address - Phone:570-204-9719
Mailing Address - Fax:
Practice Address - Street 1:3526 STURBRIDGE PL
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-1768
Practice Address - Country:US
Practice Address - Phone:570-204-9719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006969L225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics