Individual
DESTRI LORA MOFFAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2211 STONE HILL RD, JEFFERSON CITY, MO 65101
(573) 634-3070
Mailing address
2211 STONE HILL RD, JEFFERSON CITY, MO 65101
(573) 634-3070
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2025037806
MO
Other
Enumeration date
09/11/2025
Last updated
07/29/2026
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