Individual
MRS. ERIN C MOREAU
Active
Individual
MRS. ERIN C MOREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT CLT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03245
MEDCOST
NC
01
—
136U5
BCBS
NC
01
—
7432688
AETNA
NC
01
—
806059
PARTNERS MEDICARE
NC
Enumeration date
01/10/2006
Last updated
02/02/2011
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