Individual
MEGHAN M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O. T.
Contact information
Practice address
2351 BROADWAY ST, PEKIN, IL 61554-3972
(309) 353-5940
(309) 353-1654
Mailing address
2351 BROADWAY ST, PEKIN, IL 61554-3972
(309) 353-5940
(309) 353-1654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003967
IL
Other
Enumeration date
01/15/2007
Last updated
11/05/2009
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