Individual
MISS ANNETTE NELALEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
444 INGLE CT, SALEM, VA 24153-3936
(540) 309-5552
Mailing address
444 INGLE CT, SALEM, VA 24153-3936
(540) 309-5552
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306000902
VA
225X00000X
Occupational Therapist
Primary
0119004559
VA
Other
Enumeration date
11/18/2010
Last updated
12/08/2010
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