Diana Ortega Monge, DOT | |
1155 S College Mall Rd Ste A, Bloomington, IN 47401-6166 | |
(812) 558-3356 | |
(812) 558-3377 |
Full Name | Diana Ortega Monge |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1155 S College Mall Rd Ste A, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467178855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (Indiana) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20110309000231 |
Mailing Address | Practice Location Address |
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Diana Ortega Monge, DOT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6250 | Diana Ortega Monge, DOT 1155 S College Mall Rd Ste A, Bloomington, IN 47401-6166 Ph: (812) 558-3356 |
Christie Leigh Pace, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2770 S Adams St, Bloomington, IN 47403 Phone: 866-465-5993 | |
Ms. Laurie Susan Allen, OTR CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-333-2663 Fax: 812-349-9206 | |
Lois Irisa Butcher, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1100 S Curry Pike, Bloomington, IN 47403 Phone: 812-675-4948 | |
Cecilia Wanchic, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8955 W Rice Rd, Bloomington, IN 47403 Phone: 812-325-9248 | |
Carrie Pepper, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 328 S Woodscrest Dr, Bloomington, IN 47401 Phone: 812-353-5534 | |
Kevin Joseph Kathman, ORT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-333-5915 Fax: 812-333-5919 | |
Katie Edwards, MS, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-353-3343 Fax: 812-353-3346 |