Provider Demographics
NPI:1427087410
Name:MOCNY, MONICA RAE (P T)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:RAE
Last Name:MOCNY
Suffix:
Gender:F
Credentials:P T
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:RAE
Other - Last Name:BRAJKOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3040 STATE ST STE F
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3358
Mailing Address - Country:US
Mailing Address - Phone:805-687-4464
Mailing Address - Fax:805-687-4496
Practice Address - Street 1:3040 STATE ST STE F
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3358
Practice Address - Country:US
Practice Address - Phone:805-687-4464
Practice Address - Fax:805-687-4496
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT13478225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist