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Individual

KIMBERLY MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
217 BAINBRIDGE CIR, MUSCLE SHOALS, AL 35661-4320
(256) 366-0969
Mailing address
217 BAINBRIDGE CIR, MUSCLE SHOALS, AL 35661-4320
(256) 366-0969

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0800
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0800
ALABAMA OCCUPATIONAL THERAPY LICENSE
AL
Enumeration date
03/17/2015
Last updated
03/17/2015
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