Andrea Noell Moore
Occupational Therapy Assistant
11960 Westline Industrial Dr Suite 201
Saint Louis
, Missouri 63146-3209
Andrea Noell Moore
Occupational Therapy Assistant
11960 Westline Industrial Dr Suite 201
Saint Louis
, Missouri 63146-3209
(636) 373-0118
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Andrea Noell Moore
- 216 Tanner Dr
- Wentzville, MO
- Zip : 63385-4635
- Phone : (636) 373-0118
Second Address
- Andrea Noell Moore
- 11960 Westline Industrial Dr Suite 201
- Saint Louis, MO
- Zip : 63146-3209
- Phone : (314) 819-0480
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2015041600 | MO |
National Provider Identifier
| NPI | 1013362755 |
|---|---|
| Provider Name | Andrea Noell Moore |
| First Address | Wentzville, MO 63385-4635 |
| Second Address | Saint Louis, MO 63146-3209 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2016 |
| Last Update Date | 02/05/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.