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NPI Code Detail

MEDICARE: MISS HOPE MEGAN MOSES AAS, AA

MEDICARE: MISS HOPE MEGAN MOSES AAS, AA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant2770OK

General Provider Information

NPI Number : 1700748415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS HOPE MEGAN MOSES AAS, AA
Provider Business Mailing Address
First Line : 14002 E 21ST ST STE 650
Second Line :
City : TULSA
State : OK
Zip : 74134-1432
Country : US
Telephone Number : 405-247-0285
Fax Number :
Provider Business Practice Location Address
First Line : 14002 E 21ST ST STE 650
Second Line :
City : TULSA
State : OK
Zip : 74134-1432
Country : US
Telephone Number : 405-247-0285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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