Provider Demographics
NPI:1720459365
Name:BELANGER, MONICA (OTR/L)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BELANGER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2647 NW 33RD ST APT 2313
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-6476
Mailing Address - Country:US
Mailing Address - Phone:207-592-6617
Mailing Address - Fax:754-300-1738
Practice Address - Street 1:2647 NW 33RD ST APT 2313
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309
Practice Address - Country:US
Practice Address - Phone:207-592-6617
Practice Address - Fax:754-300-1738
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-08
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT17352225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist