Individual
CHERYL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5700 WATER TOWER PL, CLARKSTON, MI 48346-2668
(248) 278-8937
Mailing address
24002 COLCHESTER DR, FARMINGTON, MI 48336-2418
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000578
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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