Individual
MEGAN MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R
Contact information
Practice address
W271N2596 PEAR TREE LN, PEWAUKEE, WI 53072-4428
(414) 881-4206
Mailing address
W271N2596 PEAR TREE LN, PEWAUKEE, WI 53072-4428
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6078-26
WI
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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