Neha Chugh-Gupta

Individual provider Active NPI Occupational Therapist · Moberly, MO

NPI 1396465746 · NPPES record last updated Aug 29, 2022

Key facts

NPI
1396465746
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2022030202 (MO)
Practice address
909 Porter St
Moberly, MO 65270-2622
Phone
(660) 269-2630
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2022030202MOMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2022030202 MO Yes

Addresses

Primary practice location

909 Porter St
Moberly, MO 65270-2622

Mailing address

711 Sunstone LN
Columbia, MO 65201-7231
Phone (732) 395-9165

Other providers in Moberly, MO

All providers in Moberly, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.