Individual
DEBORAH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 SAUK TRL, PARK FOREST, IL 60466-2150
(708) 288-8827
Mailing address
15 SAUK TRL, PARK FOREST, IL 60466-2150
(708) 288-8827
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
057004445
IL
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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