Provider Demographics
NPI:1275826042
Name:QUERY, MONIQUE (DPT)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:QUERY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 WINDY HILL RD SE UNIT 422
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30081-3001
Mailing Address - Country:US
Mailing Address - Phone:470-774-0220
Mailing Address - Fax:
Practice Address - Street 1:850 WINDY HILL RD SE UNIT 422
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30081-3001
Practice Address - Country:US
Practice Address - Phone:470-774-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0152142251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics