Most Relevant Information
Provider Data
| NPI Number: | 1003223017 |
| Provider Name: | ERIN E MORENO OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT007618 |
Most Important Dates
| Enumeration Date: | 07/22/2014 |
| Last Updated: | 07/16/2022 |
Provider Practice Location
4381 BELLS FERRY RD NW
KENNESAW
GA
301441309
Practice Location Phone/Fax
| Phone: | 7248161800 |
| Fax: | 8659517273 |
Provider Mailing Location
3243 HERITAGE CIR
HENDERSONVILLE
NC
287913553
Provider Mailing Phone/Fax
| Phone: | 8287130560 |
| Fax: | 8659517273 |