Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STELLA MOON
ActiveSTELLA MOON is a Occupational Therapy Assistant healthcare provider located in SANTA ROSA, California. NPI 1578184628 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · SANTA ROSA, CA
Registration Details
- NPI Number
- 1578184628
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 29, 2020 (6.3326804884112 yrs)
- Last Updated
- Apr 29, 2020
- License
-
OTA2154 (CA)
Practice Information
- Address
-
320 TESCONI CIR STE GSANTA ROSA, CA, 954014611Browse CA providers · Browse ZIP 95401
- Phone
- 7075442637
- Fax
- 7075442088
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| MAYA BARRETT | — | 1700137767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.