Individual provider · Type 1 NPI

Shayla Kirondi Moore, OTR/L

Occupational Therapist · Waldorf, MD

NPI number 1124325253 Active

Practice location

10713 Sourwood Ave
Waldorf, MD 20603-5752

Call (240) 475-2658 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X04191 (MD)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1124325253

Shayla Kirondi Moore, OTR/L's National Provider Identifier is 1124325253, issued on Feb 25, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Waldorf, MD. The record was last updated on Feb 25, 2011.