Provider Demographics
NPI:1356396212
Name:TWARDZIK-ROBERTS, MONIKA MARIE (MPT)
Entity type:Individual
Prefix:MS
First Name:MONIKA
Middle Name:MARIE
Last Name:TWARDZIK-ROBERTS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MS
Other - First Name:MONIKA
Other - Middle Name:MARIE
Other - Last Name:TWARDZIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:326 TSCHIFFELY SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5682
Mailing Address - Country:US
Mailing Address - Phone:202-841-3881
Mailing Address - Fax:240-982-5058
Practice Address - Street 1:60 MARKET ST STE 202
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-6559
Practice Address - Country:US
Practice Address - Phone:240-982-5058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2023-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19778225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD278533ZD6TMedicare PIN