Individual
MS. LINDA M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR
Contact information
Practice address
4909 LEONE DR, INDIANAPOLIS, IN 46226-2577
(317) 549-0692
(317) 549-0692
Mailing address
4909 LEONE DR, INDIANAPOLIS, IN 46226-2577
(317) 549-0692
(317) 549-0692
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001058A
IN
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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