Katelyn Moen

Occupational Therapist · Hattiesburg, MS

Individual Active NPI

NPI number 1679168579

Practice location

103 Fox Chase Dr
Hattiesburg, MS 39402-2575
Phone
(601) 366-1081

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NPI record

NPI
1679168579
Entity type
Individual (Type 1)
Enumeration date
March 3, 2021
Last updated
March 31, 2021
Certified
March 31, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X OT3834 MS

Mailing address

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone
(601) 605-6777

About Katelyn Moen

Katelyn Moen is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 103 Fox Chase Dr, Hattiesburg, MS 39402-2575. The NPI number 1679168579 was assigned on March 3, 2021 and the record was last updated on March 31, 2021.

Katelyn Moen lists a license in the registry: #OT3834 (MS) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Katelyn Moen?

The NPI number is 1679168579.

What is the phone number of Katelyn Moen?

The phone number listed for the practice location is (601) 366-1081.

Where is Katelyn Moen located?

103 Fox Chase Dr, Hattiesburg, MS 39402-2575.

What is the taxonomy code for Katelyn Moen?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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