Individual
MRS. PAMELA LORRAINE MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9378
Mailing address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9378
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
254-026
WI
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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