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Individual
SHENICKI COLEMAN MOORE
Active
Individual
SHENICKI COLEMAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116327
TX
225X00000X
Occupational Therapist
28310
CA
225X00000X
Occupational Therapist
OT-2804
NV
225X00000X
Occupational Therapist
OT.0009117
CO
225XG0600X
Gerontology Occupational Therapist
—
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
08/15/2018
Last updated
09/08/2026
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