Individual provider · Type 1 NPI

Lisa Kathleen Moreno, OTR/L, CHT, PAMS

Occupational Therapist · San Luis Obispo, CA

NPI number 1407119993 Active

Practice location

187 Tank Farm Rd, Suite 220
San Luis Obispo, CA 93401-7081

Mailing address

187 Tank Farm Rd., Suite 220
San Luis Obispo, CA 93401

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2565 (CA)

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 1407119993

Lisa Kathleen Moreno, OTR/L, CHT, PAMS's National Provider Identifier is 1407119993, issued on Jun 19, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jun 19, 2012.