DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHERONDA CHANTELL MOORE MSOT, OTR/L

MEDICARE: SHERONDA CHANTELL MOORE MSOT, OTR/L
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
1225X00000XOccupational Therapist9065NC
2225X00000XOccupational Therapist3992SC
3101YM0800XMental Health Counselor88001256AIN

General Provider Information

NPI Number : 1730544842
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERONDA CHANTELL MOORE MSOT, OTR/L
Provider Business Mailing Address
First Line : 8040 UPLAND CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-9585
Country : US
Telephone Number : 803-837-2652
Fax Number :
Provider Business Practice Location Address
First Line : 7136 GETTYSBURG PIKE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-5680
Country : US
Telephone Number : 260-745-3322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2015
Last Update Date : 03/29/2024

Similar Medicare Providers

1194659763 — PAUL ADKINS APRN, FNP-C
Practice Location Address:
12424 BRANTLEY COMMONS CT
FORT MYERS, FL
33907-5680
Practice Phone: 239-322-3815
Practice Fax:
1023442787 — MS. ELIZABETH ANN HILGREEN LMHC
Practice Location Address:
12424 BRANTLEY COMMONS CT
FORT MYERS, FL
33907-5680
Practice Phone: 239-994-9315
Practice Fax:
1659752962 — HEATHER STEIN MS
Practice Location Address:
12424 BRANTLEY COMMONS CT
FORT MYERS, FL
33907-5680
Practice Phone: 239-332-8009
Practice Fax: 239-332-4977
1962944850 — ANDRIA GOLDMAN
Practice Location Address:
12424 BRANTLEY COMMONS CT
FORT MYERS, FL
33907-5680
Practice Phone: 239-332-8009
Practice Fax:
1265084818 — HANNAH DIERKSHEIDE
Practice Location Address:
12424 BRANTLEY COMMONS CT
FORT MYERS, FL
33907-5680
Practice Phone: 239-688-2899
Practice Fax:
1851048599 — ANNA GALVAN APRN
Practice Location Address:
12424 BRANTLEY COMMONS CT
FORT MYERS, FL
33907-5680
Practice Phone: 239-322-3815
Practice Fax:

Directions to “ SHERONDA CHANTELL MOORE MSOT, OTR/L” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.