Individual
MS. MIRIAM MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
46 GRANDVIEW AVE, SPRING VALLEY, NY 10977-1321
(845) 356-0191
(845) 356-0193
Mailing address
3 WILLOWS RD, MONSEY, NY 10952-1238
(845) 596-0866
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
015054-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
015054-1
NY
Other
Enumeration date
01/28/2010
Last updated
07/25/2012
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