Individual
MISTI MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2929 KENNY RD, COLUMBUS, OH 43221-2415
(614) 442-1876
(614) 538-8694
Mailing address
4357 JENNYDAWN PL, HILLIARD, OH 43026-3840
(614) 921-0456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.005295
OH
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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