Individual
MCKENZIE ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
15 ENTERPRISE DR STE 100, AUGUSTA, ME 04330-7998
(207) 621-7500
Mailing address
19 RATT MILL HILL RD, READFIELD, ME 04355-3143
(352) 322-1757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2716
ME
Other
Enumeration date
07/16/2012
Last updated
10/10/2023
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