Individual
MRS. KELLI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4767 PAINTERS STREET, NEW ORLEANS, LA 70122
(504) 309-5811
(504) 309-5877
Mailing address
4767 PAINTERS ST, NEW ORLEANS, LA 70122-5003
(504) 670-9805
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OTT Z11161
LA
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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