Michele Lee Moreno
Individual provider Active NPI Occupational Therapist · Phoenix, AZ
NPI 1285840231 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285840231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3327 (AZ)
- Practice address
- 455 N 3Rd St Ste 200
Phoenix, AZ 85004-3932 - Phone
- (602) 528-3450
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3327 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essential Therapy Solutions, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3327 | AZ | Yes |
Addresses
Primary practice location
455 N 3Rd St Ste 200
Phoenix, AZ 85004-3932
Mailing address
1990 McCulloch Blvd N # D-104
Lake Havasu City, AZ 86403-5749
Phone (928) 566-9933
Other providers in Phoenix, AZ
- Jazmin Moreno
- Karen Thao Moreno
- Lauren Charlie Moreno
- Lisa Moreno
- Maribel Moreno
- Nancine Moreno
- Olivia Moreno
- Pamela Moreno
- Rosie Jari Moreno
- Tammy Mae Moreno
All providers in Phoenix, AZ · Occupational Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.