Heather Dawn Moening in Melbourne - Occupational Therapy Assistant

Heather Dawn Moening - NPI 1003919663

Heather Dawn Moening is a Occupational Therapy Assistant in Melbourne, Florida. Heather Dawn Moening practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Heather Dawn Moening is 1003919663. The last update date is 2007-07-08.

Heather Dawn Moening's current location address is 1800 Penn St Ste 12, Melbourne, Florida. You can contact this provider via phone number 3217686800 and fax number 3217686858. The mailing address for Heather Dawn Moening is 1800 Penn St Ste 12, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Heather Dawn Moening
Address 1800 Penn St Ste 12, Melbourne, Florida
Phone Number 3217686800
Fax Number 3217686858
Sole Proprietor Y
Credentials COTA

NPI Number Detail

NPI Number 1003919663
Provider Enumeration Date 2006-09-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1800 Penn St Ste 12
City Melbourne
State Florida (FL)
Post Code 329012625
Phone Number 3217686800
Fax Number 3217686858

Provider's Primary Taxonomy Detail

Speciality Occupational Therapy Assistant
Taxonomy 224Z00000X
Licence No 10227
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10227 FL OCCT THERAPIST ASSIST

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FAQs about Heather Dawn Moening

What is the unique 10-digit identification code issued to Heather Dawn Moening by the Centers for Medicare & Medicaid Services?

The Heather Dawn Moening has been assigned the NPI (National Provider Identifier) 1003919663 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Heather Dawn Moening is geographically located?

The Heather Dawn Moening is physically situated at the following location: 1800 Penn St Ste 12, Melbourne, FL, 329012625.

What is the Heather Dawn Moening's specialty and taxonomy code?

The Heather Dawn Moening's specialty is Occupational Therapy Assistant, and the corresponding taxonomy code is 224Z00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1003919663 to Heather Dawn Moening?

The Heather Dawn Moening received its 1003919663 assignment from the Centers for Medicare & Medicaid Services on 2006-09-07.

As of what date were the details related to Heather Dawn Moening most recently updated or revised?

The information pertaining to Heather Dawn Moening, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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