Individual
MRS. KELLY DAWN MOORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
283 SACARAP RD, COLUMBIA, ME 04623-3310
(207) 483-4638
(207) 483-4638
Mailing address
283 SACARAP RD, COLUMBIA, ME 04623-3310
(207) 483-4638
(207) 483-4638
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
ME
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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