IndividualActive
Lisa Moen, OT
NPI 1841592409 · Physical Rehabilitation Occupational Therapist · Lynnwood, WA
Provider details
- NPI number
- 1841592409
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT 00001157 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
19217 36th Ave W
Suite 102
Lynnwood, WA 98036-5751
Phone: (425) 670-9995
Approximate (ZIP-level) locationGet directions
Mailing address
19217 36th Ave W
Lynnwood, WA 98036-5751
Registry dates
- Enumerated
- 2010-12-02
- Last updated
- 2010-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.