Individual
MEGAN MOAURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1251 COLLEGE AVE, ALTON, IL 62002-6735
(630) 808-6454
Mailing address
5118 JEROME DR, GODFREY, IL 62035-1424
(630) 808-6454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013906
IL
225X00000X
Occupational Therapist
—
MO
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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