Kandyce Moen, OTR

NPI #1295827590 in Chisago City, Minnesota

Provider Information

NPI Number: 1295827590
Entity Type: Individual
Name: Kandyce Moen, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Sep 28, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 10069 STACY TRL
City: Chisago City
State: Minnesota
ZIP Code: 55013-9531
Phone: (763) 689-5385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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