Individual
MR. TIMOTHY JAMES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
211 COOL SPRINGS BLVD, FRANKLIN, TN 37067-7242
(615) 778-6835
Mailing address
6394 COX RD, COLLEGE GROVE, TN 37046-7109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2511
TN
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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