Rebecca Moos

NPI #1073011185 in Shoreview, Minnesota

Provider Information

NPI Number: 1073011185
Entity Type: Individual
Name: Rebecca Moos
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 24, 2018
Last Updated: Jan 24, 2018

Practice Location

Address: 490 HIGHWAY 96 W
City: Shoreview
State: Minnesota
ZIP Code: 55126-1960
Phone: (651) 415-5490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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