Individual
MR. ERIC MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
500 BEDFORD ST APT 445, STAMFORD, CT 06901-1525
(585) 545-0229
Mailing address
500 BEDFORD ST APT 445, STAMFORD, CT 06901-1525
(585) 545-0229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5519
CT
Other
Enumeration date
09/21/2020
Last updated
09/22/2020
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