Individual
SHELLEY M MOOAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
224 BRAKEFIELD ST, SLIDELL, LA 70458-3618
(985) 646-4955
Mailing address
224 BRAKEFIELD ST, SLIDELL, LA 70458-3618
(985) 646-4955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11261
LA
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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