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

Individual provider Occupational Therapist · NPI 1073098323

Stefanie Jane Moore, OTR is an Occupational Therapist in North Riverside, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

2800 Desplaines Ave
North Riverside, IL 60546-1851
Phone: (708) 447-5092
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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 056012660 (IL)

Record details

NPI number1073098323
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESOctober 2, 2018

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