Mrs Colleen Lee Moore, OT is a
Occupational Therapist based in Cloverdale, California. Mrs Colleen Lee Moore is licensed to practice in California (license number 7450) and her current practice location is
301 Northstar Ln, Cloverdale, California. She can be reached at her office (for appointments etc.) via phone at
(707) 888-7386.
NPI number for Mrs Colleen Lee Moore is 1740851187 and her current mailing address is 301 Northstar Ln, Cloverdale, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740851187.
Healthcare Provider's Profile
Full Name | Mrs Colleen Lee Moore |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 301 Northstar Ln, Cloverdale, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740851187
- Provider Enumeration Date: 07/07/2021
- Last Update Date: 07/07/2021
Medical Identifiers
Medical identifiers for Mrs Colleen Lee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740851187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 7450 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Colleen Lee Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Colleen Lee Moore, OT 301 Northstar Ln, Cloverdale, CA 95425-3892 Ph: (707) 888-7386 | Mrs Colleen Lee Moore, OT 301 Northstar Ln, Cloverdale, CA 95425-3892 Ph: (707) 888-7386 |
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