Individual
KRISTA M MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
1110 7TH AVE, CUMBERLAND, WI 54829-9138
(715) 822-2231
Mailing address
521 BENSON RD N, FREDERIC, WI 54837-8946
(715) 327-4750
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5116-27
WI
Other
Enumeration date
08/06/2014
Last updated
09/02/2014
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