Provider Demographics
NPI:1982255253
Name:DWORAKOWSKI, MONIKA (OTR/L)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:DWORAKOWSKI
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 1:3980 ORLOFF AVE APT 8F
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-2884
Mailing Address - Country:US
Mailing Address - Phone:347-634-9015
Mailing Address - Fax:
Practice Address - Street 1:6132 RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1009
Practice Address - Country:US
Practice Address - Phone:718-884-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023406225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand