Individual provider · Type 1 NPI

Stephanie E. Moon, OTRL

Occupational Therapist · Grand Rapids, MI

NPI number 1992273809 Active

Practice location

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336

Call (616) 940-0040 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201010416 (MI)

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 1992273809

Stephanie E. Moon, OTRL's National Provider Identifier is 1992273809, issued on Nov 8, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 8, 2018.