Most Relevant Information
Provider Data
| NPI Number: | 1003295338 |
| Provider Name: | ANDREA JEAN MOORMANN M.O.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 056.010933 |
Most Important Dates
| Enumeration Date: | 05/19/2015 |
| Last Updated: | 05/19/2015 |
Provider Practice Location
15300 WEST AVE
WEST BLDG., SUITE 310
ORLAND PARK
IL
604624600
Practice Location Phone/Fax
| Phone: | 7083493388 |
| Fax: |
Provider Mailing Location
9132 WINDSOR DR
PALOS HILLS
IL
604651393
Provider Mailing Phone/Fax
| Phone: | 6305323915 |
| Fax: |