Individual
ANGELA HELEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 930-7100
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6125
AL
Other
Enumeration date
04/24/2023
Last updated
05/17/2023
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