Individual
EMILY MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PEDIATRIC THERAPY NETWORK, 2506 N CLARK ST #158, CHICAGO, IL 60614
(312) 278-0022
Mailing address
9039 CLAYTON RD, SAINT LOUIS, MO 63117-1028
(314) 825-7620
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014175
IL
Other
Enumeration date
07/23/2021
Last updated
07/26/2021
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