Moon, Linda D
Moon, Linda D is an sole proprietor health care provider with primary practice located at 7514 Nautical Ct , Panama City FL 32409-4827. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Low Vision, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Moon, Linda D can be contacted via phone (850) 628-0981.Contact Information
Primary practice address
7514 Nautical Ct
Panama City FL 32409-4827
Phone: (850) 628-0981
Fax: (850) 786-3638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Low Vision | 225XL0004X | OT 10128 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT 10128 | Florida |
Profile Details
| NPI number | 1659303147 |
|---|---|
| LBN Legal business name | Moon, Linda D |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | May 24th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659303147 | NPPES |
| Florida | MEDICAID | 116506000 | |
| Florida | Other | P00303830 |
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