Provider / Organization | NPI | Date Certified |
---|---|---|
TAMMY ELIZABETH MONDRY | 1225089238 | 2024-07-06 |
Tammy Elizabeth Mondry is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225089238. Registration indicates Tammy Elizabeth Mondry is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist: Orthopedic, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Physical Therapist, ) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Dr. Tammy Elizabeth Mondry DPT, MSRS, CLT-LANA |
Practice Office Address | 171 CALLE MAGDALENA STE 102 ENCINITAS, CA US |
Practice Office Telephone | 7606448558 |
Practice Office Fax | 7609466308 |
Mailing Address | 380 PASEO PACIFICA ENCINITAS, CA 920243644 US |
Business Telephone | 7606228686 |
Business Fax | 7609466308 |
Code | Practice | License No State |
---|---|---|
2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist: Orthopedic Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Orthopedic Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | 4478
NM |
225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 20026
CA |
8TAB21 | OTHER | TX | BCBS |