Individual
KRISTA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6909 ASHWOOD RD, APT 101, WOODBURY, MN 55125-1289
(651) 757-0864
Mailing address
6909 ASHWOOD RD, APT 101, WOODBURY, MN 55125-1289
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101859
MN
Other
Enumeration date
12/30/2009
Last updated
08/03/2014
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