Individual
ABBY MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
613 COOK ST, ROYSTON, GA 30662-3933
(706) 491-5409
Mailing address
516 OCONEE LN, COMMERCE, GA 30529-4182
(706) 491-5409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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