IndividualActive
Andrea Moon, OTR/L
NPI 1952532301 · Pediatric Occupational Therapist · Hallstead, PA
Provider details
- NPI number
- 1952532301
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OC011121 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
616 Mountain Valley Rd
Hallstead, PA 18822-9169
Phone: (607) 761-3487
Approximate (ZIP-level) locationGet directions
Mailing address
103 Jason St
Avoca, PA 18641-1127
Registry dates
- Enumerated
- 2009-08-03
- Last updated
- 2009-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.