IndividualActive
Abbie Moore, COTA
NPI 1639816234 · Occupational Therapy Assistant · Warrenville, IL
Provider details
- NPI number
- 1639816234
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTA-047064 (AZ)
Mailing address
16601 N 75th Ave Unit 2002
Peoria, AZ 85382-5029
Registry dates
- Enumerated
- 2022-05-16
- Last updated
- 2022-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.