Moon, Terry Ann
Moon, Terry Ann is an individual health care provider with primary practice located at 6601 220Th St Sw Suite 1, Mountlake Terrace WA 98043-2166. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Moon, Terry Ann can be contacted via phone (425) 775-7274.Contact Information
Primary practice address
6601 220Th St Sw Suite 1
Mountlake Terrace WA 98043-2166
Phone: (425) 775-7274
Fax: (425) 775-0963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT00001899 | Washington |
Profile Details
| NPI number | 1013110709 |
|---|---|
| LBN Legal business name | Moon, Terry Ann |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2007 |
| Last updated | Jul 14th, 2015 - about 10 years 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 | 1013110709 | NPPES |
| Washington | Other | 139516 | LNI |
| Washington | MEDICAID | 1013110709 | LNI |
| Washington | Other | 0302899 | LNI |
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