Provider Demographics
NPI:1902081482
Name:MONAHAN, NANCY JEAN (PNYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JEAN
Last Name:MONAHAN
Suffix:
Gender:F
Credentials:PNYSICAL THERAPIST
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:JEAN
Other - Last Name:MONAHAN-NISHIOKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7755 CENTER AVE STE 1100
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3091
Mailing Address - Country:US
Mailing Address - Phone:714-243-8700
Mailing Address - Fax:
Practice Address - Street 1:7755 CENTER AVE STE 1100
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3091
Practice Address - Country:US
Practice Address - Phone:714-243-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 21793225100000X, 2251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology