Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMATHA HALIE MOORE, OTA
Active Sole ProprietorSAMATHA HALIE MOORE, OTA is a Occupational Therapy Assistant healthcare provider located in SHAWNEETOWN, Illinois. NPI 1932525144 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · SHAWNEETOWN, IL
Registration Details
- NPI Number
- 1932525144
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2014 (12.383770113264 yrs)
- Last Updated
- Mar 12, 2014
- Licenses
-
057003896 (IL)32002601A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
136 EAST TOWNSHENDSHAWNEETOWN, IL, 62984Browse IL providers · Browse ZIP 62984
- Phone
- 6189260865
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
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.