Provider Demographics
NPI:1245949676
Name:ZDONEK, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:ZDONEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1-2 W MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-1654
Mailing Address - Country:US
Mailing Address - Phone:860-881-8462
Mailing Address - Fax:
Practice Address - Street 1:142 COOPER AVE
Practice Address - Street 2:
Practice Address - City:WEATOGUE
Practice Address - State:CT
Practice Address - Zip Code:06089-7957
Practice Address - Country:US
Practice Address - Phone:860-317-0436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant