# KRISTIN S MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457687345
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 056008151 | IL | Yes |
| 225X00000X | Occupational Therapist | 2009205716 | MO | — |

## Other

- **Enumeration date:** 10/27/2009
- **Last updated:** 10/29/2009