Organization
MOORE THERAPIES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN D MOORE MA, CCC-SLP (OWNER)
(651) 955-3327
Entity
Organization
Contact information
Practice address
16817 ZION ST NW, ANDOVER, MN 55304-2091
(651) 955-3327
Mailing address
16817 ZION ST NW, ANDOVER, MN 55304-2091
(651) 955-3327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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