Individual
CELIA FAYE MOORHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
5930 ADOBE RD, TWENTYNINE PALMS, CA 92277-2356
(760) 367-1743
(760) 367-1083
Mailing address
5930 ADOBE RD, TWENTYNINE PALMS, CA 92277-2356
(760) 367-1743
(760) 367-1083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14703
OCCUPATIONAL THERAPIST LICENSE
CA
01
—
331415
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
CA
Enumeration date
10/07/2014
Last updated
10/07/2014
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