Provider Demographics
NPI:1821602228
Name:MOORMAN, ANNE E (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:E
Last Name:MOORMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:E
Other - Last Name:HALSTED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:131 SAUNDERSVILLE RD STE 160
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-8940
Mailing Address - Country:US
Mailing Address - Phone:402-984-6738
Mailing Address - Fax:
Practice Address - Street 1:131 SAUNDERSVILLE RD STE 160
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-8940
Practice Address - Country:US
Practice Address - Phone:615-826-6612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000006362225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist