Doctor Name: | KRISTAN TRETTEL MOSLEY |
NPI Number: | 1184913303 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | OC0003042L |
Business Practice Address: | 510 Sunset Ln Mc Donald, PA - 150572565 |
Business Phone Number: | 7249262286 |
Business Fax Number: | |
Mailing Address: | 510 Sunset Ln, MC DONALD |
State: | PA |
Postal Code: | 150572565 |
Phone Number: | 7249262286 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2011 |
NPI Last Update Date: | 03/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XN1300X |
License Number: | OC0003042L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Neurorehabilitation |
Taxonomy Definition: |