Individual
MRS. PAULA MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 E 45TH ST, NEW YORK, NY 10017-3433
(612) 817-6903
Mailing address
320 E 23RD ST, 16G, NEW YORK, NY 10010-4713
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
016260-1
NY
Other
Enumeration date
08/04/2010
Last updated
09/13/2017
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