Individual
TERRY ANN MOON
Active
Individual
TERRY ANN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001899
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0302899
DEPT. OF LABOR AND INDUSTRIES
WA
05
—
1013110709
—
WA
01
—
139516
LNI
WA
Enumeration date
06/08/2007
Last updated
07/14/2015
Update your record
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