Individual
ANN MOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 FLORSHEIM DR, LIBERTYVILLE, IL 60048-5200
(847) 816-3035
(847) 816-3043
Mailing address
901 FLORSHEIM DR, LIBERTYVILLE, IL 60048-5200
(847) 816-3035
(847) 816-3043
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004204
IL
Other
Enumeration date
04/26/2015
Last updated
04/26/2015
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