Provider Demographics
NPI:1336166313
Name:LINK, MONICA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:LINK
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21205 NE 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4051
Mailing Address - Country:US
Mailing Address - Phone:305-692-4435
Mailing Address - Fax:
Practice Address - Street 1:7911 NW 72ND AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:MEDLEY
Practice Address - State:FL
Practice Address - Zip Code:33166-2227
Practice Address - Country:US
Practice Address - Phone:305-883-6180
Practice Address - Fax:305-883-6301
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT1228225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY7881AMedicare PIN