Provider Demographics
NPI:1457116345
Name:FINELLO SHORTELL, MONICA FRANCESCA
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:FRANCESCA
Last Name:FINELLO SHORTELL
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 1:11340 ALAMO RANCH PKWY APT 1428
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-6676
Mailing Address - Country:US
Mailing Address - Phone:210-724-6239
Mailing Address - Fax:
Practice Address - Street 1:11340 ALAMO RANCH PKWY APT 1428
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-6676
Practice Address - Country:US
Practice Address - Phone:210-724-6239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist