Individual provider · Type 1 NPI
Samatha Halie Moore, OTA
Occupational Therapy Assistant · Shawneetown, IL
Practice location
136 East Townshend
Shawneetown, IL 62984
Mailing address
136 E Townshend Ave
Shawneetown, IL 62984-3215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 057003896 (IL) |
| Occupational Therapy Assistant | 224Z00000X | 32002601A (IN) |
Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…
About NPI 1932525144
Samatha Halie Moore, OTA's National Provider Identifier is 1932525144, issued on Mar 12, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Shawneetown, IL. The record was last updated on Mar 12, 2014.