Individual provider · Type 1 NPI

Colleen Lee Moore, OT

Occupational Therapist · Cloverdale, CA

NPI number 1740851187 Active

Practice location

301 Northstar Ln
Cloverdale, CA 95425-3892

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X7450 (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…

About NPI 1740851187

Colleen Lee Moore, OT's National Provider Identifier is 1740851187, issued on Jul 7, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Cloverdale, CA. The record was last updated on Jul 7, 2021.