Provider Demographics
NPI:1053128199
Name:GUY, MONICA LYNN (OTR)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:LYNN
Last Name:GUY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 DE SOTO AVE APT 35201
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-0203
Mailing Address - Country:US
Mailing Address - Phone:818-264-6076
Mailing Address - Fax:
Practice Address - Street 1:22110 ROSCOE BLVD STE 302
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-3864
Practice Address - Country:US
Practice Address - Phone:818-347-7110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA525027225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand