Individual
CASSANDRA LYNNETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
Mailing address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
247297
KY
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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