Individual
LAURA BETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5545 E LEE ST, TUCSON, AZ 85712-4205
(520) 296-2306
Mailing address
7414 S VIA CASA ELEGANTE, TUCSON, AZ 85756-8376
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4382
AL
225X00000X
Occupational Therapist
4524
TN
225X00000X
Occupational Therapist
Primary
OTH-007773
AZ
Other
Enumeration date
08/03/2018
Last updated
12/04/2019
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