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Individual
MRS. LINDA D MOON
Active
Individual
MRS. LINDA D MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT 10128
FL
225XL0004X
Low Vision Occupational Therapist
OT 10128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116506000
—
FL
01
—
P00303830
RR MEDICARE
FL
Enumeration date
07/07/2006
Last updated
05/24/2024
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