Individual
MS. ZOE SARAH-NICOLE MOONWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
312 BIRCHWOOD LN, SEVIERVILLE, TN 37862-5309
(865) 414-7858
Mailing address
312 BIRCHWOOD LN, SEVIERVILLE, TN 37862-5309
(865) 414-7858
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1735
TN
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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