| Mr Kevin Douglas Moon, OTR/L | |
|
3767 Delaware Ave, Kenmore, NY 14217-1040 | |
| (716) 874-6175 | |
| Not Available |
| Full Name | Mr Kevin Douglas Moon |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 3767 Delaware Ave, Kenmore, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942781299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 022807 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Douglas Moon, OTR/L 71 Raintree Is Apt 3, Tonawanda, NY 14150-2736 Ph: (845) 558-5871 | Mr Kevin Douglas Moon, OTR/L 3767 Delaware Ave, Kenmore, NY 14217-1040 Ph: (716) 874-6175 |
Molly Kathleen Ryan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Shanli Latulip, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Nicole Giliforte, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Mrs. Amanda M Morton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Samantha Gaffney, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Renee Reinberg, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2900 Delaware Ave, Kenmore, NY 14217 Phone: 716-871-9883 | |
Jenna Desiderio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 |