Individual
ERIKA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2333 CHAPEL HILL RD, COLUMBIA, MO 65203-1568
(573) 629-1169
Mailing address
1208 VALLEY VIEW CT, MOBERLY, MO 65270-1471
(660) 651-5936
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015006593
MO
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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