Provider Demographics
NPI:1154768752
Name:BELL, MONICA (OTRL)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:BRENSKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2923 N BLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-3518
Mailing Address - Country:US
Mailing Address - Phone:989-372-4777
Mailing Address - Fax:
Practice Address - Street 1:46471 HAYES RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315
Practice Address - Country:US
Practice Address - Phone:586-566-3736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201008477225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist