Provider Demographics
NPI:1598597569
Name:MALEKI, MONYA (DPT)
Entity type:Individual
Prefix:
First Name:MONYA
Middle Name:
Last Name:MALEKI
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 1:3760 SW 40TH ST UNIT 612
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1558
Mailing Address - Country:US
Mailing Address - Phone:541-525-6998
Mailing Address - Fax:
Practice Address - Street 1:3760 SW 40TH ST UNIT 612
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33146-1558
Practice Address - Country:US
Practice Address - Phone:541-525-6998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-17
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT41984225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist