NPI 1386859692

Kimberly Anne Moore, COTA

Practitioner Occupational Therapy Assistant West Union, IA

Practice location

Address: 112 Jefferson St, West Union, IA 52175-1022
Phone: (563) 423-7261

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 00750 (IA)

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Registry record

NPI: 1386859692
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2007
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.