Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destri Lora Moffat, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1114808383

Destri Lora Moffat, OTR/L is a Pediatric Occupational Therapist in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2025.

Licensed in
MO
In the registry since
2025
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2211 Stone Hill Rd
Jefferson City, MO 65101
Phone: (573) 634-3070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 2025037806 (MO)

Record details

NPI number1114808383
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 11, 2025
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

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