Individual provider · Type 1 NPI

Tracy Nicole Moon, OTD, OTR/L

Occupational Therapist · Suwanee, GA

NPI number 1679186514 Active

Practice location

3000 Celebration Blvd
Suwanee, GA 30024-1054

Mailing address

3649 Belmont Hwy
Gainesville, GA 30507-8953

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

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 1679186514

Tracy Nicole Moon, OTD, OTR/L's National Provider Identifier is 1679186514, issued on Aug 30, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Suwanee, GA. The record was last updated on Aug 30, 2020.