Individual
MR. DANIEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7 BALDWIN ST, FRANKLIN, NH 03235-2000
(603) 934-2541
Mailing address
32 KEYSER RD, ANDOVER, NH 03216-4019
(603) 735-5451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00621
NH
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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