DAVID MONDECAR NPI 1609396662

NPI Information

NPI: 1609396662
Provider Name: DAVID MONDECAR
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
1291 STANLEY RD NW
KENNESAW, GA
ZIP 30152
Phone: (770) 427-0147
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David Mondecar is a recreation therapist in Kennesaw, GA. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. David Mondecar NPI is 1609396662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1291 STANLEY RD NW
KENNESAW, GA
ZIP 30152-359
Phone: (770) 427-0147

The enumeration date for this NPI number is 6/21/2017 and was last updated on 6/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225800000X	Recreation Therapist		12198	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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