Individual
SUSAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
32 VAN BUREN AVE, PORTSMOUTH, NH 03801-5830
(603) 436-2231
Mailing address
26 HARDING RD, PORTSMOUTH, NH 03801-5834
(603) 969-8712
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2117
NH
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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