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Contact Information

ERICA MOON
2600 FERRY ST
LAFAYETTE, IN47904
 Phone: 765-448-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ERICA MOON · (Female)

NPI Number 1235679010
Status Active
Credentials
Entity Individual
Enumeration date 02/28/2017
Last updated 07/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 31006305A
  • IN Medicaid 300001352
  • IN Other 000001074540 ANTHEM PROVIDER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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