Individual provider · Type 1 NPI

Melissa Moose, OT

Occupational Therapist · Winston Salem, NC

NPI number 1205950490 Active

Practice location

2500 Polo Ridge Ct
Winston Salem, NC 27106-3950

Fax (336) 723-7828

Mailing address

174 Scott Rd
Lewisville, NC 27023-8168

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X4791 (NC)

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 1205950490

Melissa Moose, OT's National Provider Identifier is 1205950490, issued on Mar 16, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jul 8, 2007.