Individual
DANIELLE MOYADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
440 EDMOND DR, DYER, IN 46311-1523
(219) 322-1415
(219) 322-1414
Mailing address
440 EDMOND DR, DYER, IN 46311-1523
(219) 322-1415
(219) 322-1414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005085A
IN
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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