Individual
KARLEIGH DANIELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1857 S MILLENIUM WAY STE 120, MERIDIAN, ID 83642-1510
(208) 600-0722
Mailing address
3800 W PERUGIA ST APT C103, MERIDIAN, ID 83642-4842
(208) 284-9373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2774
ID
Other
Enumeration date
06/28/2023
Last updated
07/09/2024
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