Individual
MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
12679 W DESERT MIRAGE DR, PEORIA, AZ 85383-3412
(719) 217-7822
Mailing address
12679 W DESERT MIRAGE DR, PEORIA, AZ 85383-3412
(719) 217-7822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008034
AZ
Other
Enumeration date
08/03/2008
Last updated
03/26/2026
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