Individual
GABRIELLE BEAUVAIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
644 ABINGTON DR NE, CONCORD, NC 28025-2568
(704) 239-6321
(184) 470-8061
Mailing address
644 ABINGTON DR NE, CONCORD, NC 28025-2568
(704) 239-6321
(184) 470-8061
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8396
NC
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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