Individual
MELISSA MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1443 310TH AVE, BROOKLYN, IA 52211-8616
(319) 855-3910
Mailing address
1443 310TH AVE, BROOKLYN, IA 52211-8616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000882
IA
Other
Enumeration date
07/31/2011
Last updated
07/31/2011
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