Individual
MEGAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78 DAWSON VILLAGE WAY N STE 230, DAWSONVILLE, GA 30534-5642
(706) 265-3575
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008334
GA
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
02/02/2022
Last updated
08/10/2022
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