Provider Demographics
NPI:1124350517
Name:HEMELT, MONIQUE PECOT (OT)
Entity type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:PECOT
Last Name:HEMELT
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 RED MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-1091
Mailing Address - Country:US
Mailing Address - Phone:504-782-5369
Mailing Address - Fax:985-624-3399
Practice Address - Street 1:351 RED MAPLE DR
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-1091
Practice Address - Country:US
Practice Address - Phone:504-782-5369
Practice Address - Fax:985-624-3399
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.Z10783225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist