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

Individual provider Occupational Therapist · NPI 1679168579

Katelyn Moen is an Occupational Therapist in Hattiesburg, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2021
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Practice location Address checks out

103 Fox Chase Dr
Hattiesburg, MS 39402-2575
Phone: (601) 366-1081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT3834 (MS)

Record details

NPI number1679168579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 3, 2021
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

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