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

Individual provider Occupational Therapist · NPI 1568242287

Moriam Soetan is an Occupational Therapist in Brooklyn, New York. Practices as a sole proprietor. Licensed in California and Washington.

Licensed in
CA, WA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1369 Broadway Unit 210536
Brooklyn, NY 11221-8826
Phone: (347) 241-5299
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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 OT210303 (CA)
Occupational Therapist Taxonomy 225X00000X · Licence OT61454620 (WA)

Record details

NPI number1568242287
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 2, 2023
Last updated in NPPESOctober 2, 2023
Certification dateSeptember 30, 2023

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