NPI 1003919663
Heather Dawn Moening, COTA
Practice location
- Address
- 1800 Penn St STE 12, Melbourne, FL 32901-2625
- Phone
- (321) 768-6800
- Fax
- (321) 768-6858
- Mailing address
- 2264 W New Haven Ave, Melbourne, FL 32904-3874
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003919663
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Sep 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.