Provider Demographics
NPI:1992057608
Name:MOJICA, MA FLORENCE VENERACION (PT)
Entity type:Individual
Prefix:
First Name:MA FLORENCE
Middle Name:VENERACION
Last Name:MOJICA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARIA FLORENCE
Other - Middle Name:VENERACION
Other - Last Name:MOJICA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1307 AMELIA AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6503
Mailing Address - Country:US
Mailing Address - Phone:419-429-2627
Mailing Address - Fax:
Practice Address - Street 1:1307 AMELIA AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6503
Practice Address - Country:US
Practice Address - Phone:419-429-2627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH8187225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist