Individual
MISS KALYN ELIZABETH MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
670 CHAUCER DR, WINTERVILLE, NC 28590-9178
(888) 880-9270
Mailing address
670 CHAUCER DR, WINTERVILLE, NC 28590-9178
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
10786
NC
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/08/2013
Last updated
07/21/2021
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