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Individual

EMILY ANNETTE MOORES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
12 SPRUCE ST, SUITE 3, AUGUSTA, ME 04330-5204
(207) 623-3900
(207) 621-4900
Mailing address
12 SPRUCE ST, SUITE 3, AUGUSTA, ME 04330-5204
(207) 623-3900
(207) 621-4900

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA1987
ME

Other

Enumeration date
04/28/2014
Last updated
04/28/2014
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