Provider Demographics
NPI:1164251146
Name:MONROIG, HALLIE G (PT,DPT)
Entity type:Individual
Prefix:
First Name:HALLIE
Middle Name:G
Last Name:MONROIG
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:HALLIE
Other - Middle Name:G
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1632 LASLINA LN
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-6851
Mailing Address - Country:US
Mailing Address - Phone:806-275-0824
Mailing Address - Fax:
Practice Address - Street 1:1632 LASLINA LN
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-6851
Practice Address - Country:US
Practice Address - Phone:806-275-0824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1394283225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist