Individual
STACY L MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 MOUNTAIN VIEW DRIVE, LONDON, KY 40741
(606) 330-0513
Mailing address
100 MOUNTAIN VIEW DRIVE, LONDON, KY 40741
(606) 330-0513
(606) 330-0516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
131820
KY
225XP0019X
Physical Rehabilitation Occupational Therapist
R3386
KY
Other
Enumeration date
07/28/2008
Last updated
04/27/2018
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