Samatha Halie Moore, OTA

Individual provider Occupational Therapy Assistant · NPI 1932525144

Samatha Halie Moore, OTA is an Occupational Therapy Assistant in Shawneetown, Illinois. Practices as a sole proprietor. Licensed in Illinois and Indiana.

Licensed in: IL, IN
In the registry since: 2014
Specialties on file: 2

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Practice location Address checks out

136 E Townshend
Shawneetown, IL 62984
Phone: (618) 926-0865

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Specialties & licences

Occupational Therapy Assistant (primary)	Taxonomy 224Z00000X · Licence 057003896 (IL)
Occupational Therapy Assistant	Taxonomy 224Z00000X · Licence 32002601A (IN)

Record details

NPI number	1932525144
Entity type	Individual (Type 1)
Gender	Female
Credentials	OTA
Sole proprietor	Yes
NPI enumerated	March 12, 2014
Last updated in NPPES	March 12, 2014
Mailing address	136 E Townshend Ave, Shawneetown, IL 62984-3215