IndividualActive
Stephanie Moyer
NPI 1629339288 · Gerontology Occupational Therapist · Cahokia, IL
Provider details
- NPI number
- 1629339288
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2 Annable Ct
Cahokia, IL 62206-2204
Phone: (618) 332-0114
Approximate (ZIP-level) locationGet directions
Mailing address
308 E Railroad Ave
Okawville, IL 62271-2224
Additional practice locations (1)
- 1030 Martin Luther King DrCentralia, IL 62801-3002Phone: (618) 791-2045Fax: (618) 791-2045
Registry dates
- Enumerated
- 2012-05-30
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.