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Megan Moe, O.T.R

Occupational Therapist in Pewaukee, WI. Individual provider (NPI-1).

NPI number1669907648
StatusActive
Last updated in NPPESApr 27, 2017

Details

NPI
1669907648
Entity type
Individual (NPI-1)
Name
Megan Moe
Credential
O.T.R
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 27, 2017
Last updated
Apr 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist6078-26WIYes

Practice location

W271n2596 Pear Tree Ln
Pewaukee, WI 53072-4428

Phone 414-881-4206

Mailing address

W271n2596 Pear Tree Ln
Pewaukee, WI 53072-4428

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