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Individual

CAROLINE JEWEL MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
962 MANOR RD, STATEN ISLAND, NY 10314-7041
(718) 982-5944
Mailing address
1334 CALDERWOOD AVE, MARYVILLE, TN 37801-4603
(866) 771-0610

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8536
TN

Other

Enumeration date
01/08/2026
Last updated
01/08/2026
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