Individual
SHARON L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 HOLLY DR, EVERETT, WA 98204-2607
(425) 366-2500
Mailing address
1019 214TH PL SW, LYNNWOOD, WA 98036-8620
(425) 778-1785
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003257
WA
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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