Kandyce Moen in Chisago City - Occupational Therapist
Kandyce Moen - NPI 1295827590
Kandyce Moen is a Occupational Therapist in Chisago City, Minnesota. Kandyce Moen practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Kandyce Moen is 1295827590. The last update date is 2007-07-09.
Kandyce Moen's current location address is 10069 Stacy Trl, Chisago City, Minnesota. You can contact this provider via phone number 7636895385. The mailing address for Kandyce Moen is 10069 Stacy Trl, Chisago City, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kandyce Moen |
|---|---|
| Address | 10069 Stacy Trl, Chisago City, Minnesota |
| Phone Number | 7636895385 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1295827590 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 10069 Stacy Trl |
|---|---|
| City | Chisago City |
| State | Minnesota (MN) |
| Post Code | 550139531 |
| Phone Number | 7636895385 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 100563 |
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Definition: 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 Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 05G60MO | MN | BCBS | |
| HP45836 | MN | HEALTH PARTNERS | |
| 6402785 | MN | MEDICA |
Post Comment/ Review Below
What is the unique identifier code issued to Kandyce Moen by the Centers for Medicare & Medicaid Services (CMS)?
The Kandyce Moen has been assigned the NPI (National Provider Identifier) 1295827590. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Kandyce Moen's facilities are geographically located?
The facilities of Kandyce Moen are physically situated at the following location: 10069 Stacy Trl, Chisago City, MN, 550139531.
What is Kandyce Moen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kandyce Moen's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295827590 to Kandyce Moen?
The Kandyce Moen received its 1295827590 assignment from the Centers for Medicare & Medicaid Services on 2006-09-28.
When was the information related to Kandyce Moen most recently updated or refreshed?
The details pertaining to the Kandyce Moen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.