Provider Demographics
NPI:1306159702
Name:MONITTO-WEBBER, MAYA NICOLE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MAYA
Middle Name:NICOLE
Last Name:MONITTO-WEBBER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 N 7TH STREET
Mailing Address - Street 2:STE S-1
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006
Mailing Address - Country:US
Mailing Address - Phone:602-258-0248
Mailing Address - Fax:
Practice Address - Street 1:825 N 7TH ST
Practice Address - Street 2:STE S-1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-3793
Practice Address - Country:US
Practice Address - Phone:602-258-0248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8866225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist