Provider Demographics
NPI:1215271556
Name:MONAGHAN, WHITNEY ELIZABETH (MSOT, OTR/L)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ELIZABETH
Last Name:MONAGHAN
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:ELIZABETH
Other - Last Name:HOOKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSOT, OTR/L
Mailing Address - Street 1:9331 ELVERSON DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277
Mailing Address - Country:US
Mailing Address - Phone:864-593-0901
Mailing Address - Fax:
Practice Address - Street 1:9331 ELVERSON DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3529
Practice Address - Country:US
Practice Address - Phone:864-593-0901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR303892225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist