Individual provider · Type 1 NPI

Kristie L. Moonan, OTRL, CHT

Occupational Therapist · St. Clair Shores, MI

NPI number 1811074255 Active

Practice location

23161 Greater Mack Ave
St. Clair Shores, MI 48080-1956

Call (586) 779-8892 Map

Fax (586) 779-2869

Other practice locations

  • 4466 W Bristol Rd, Flint, MI 48507-3170 · (810) 285-8523

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…

10 other providers at this address

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About NPI 1811074255

Kristie L. Moonan, OTRL, CHT's National Provider Identifier is 1811074255, issued on Nov 1, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Oct 26, 2026.