Individual
MARY KAY MORIARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2616 ORCHARD DR STE C, CEDAR FALLS, IA 50613-5812
(319) 266-2666
(319) 266-5321
Mailing address
2616 ORCHARD DR STE C, CEDAR FALLS, IA 50613-5812
(319) 266-2666
(319) 266-5321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00096
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39722
WELLMARK, BLUE CROSS & BLUE SHIELD
IA
Enumeration date
05/23/2008
Last updated
05/23/2008
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