Eve Moura, M.S., OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Northfield, CT

NPI 1629418306 · NPPES record last updated Jun 26, 2013

Key facts

NPI
1629418306
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
003671 (CT)
Practice address
32 Lazo Dr
Northfield, CT 06778-2121
Phone
(724) 944-5341
NPI assigned
Jun 26, 2013
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
003671CTMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 003671 CT Yes

Addresses

Primary practice location

32 Lazo Dr
Northfield, CT 06778-2121

Mailing address

32 Lazo Dr
Northfield, CT 06778-2121
Phone (724) 944-5341

Other providers in Northfield, CT

All providers in Northfield, CT · Pediatric Occupational Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.