Individual
MRS. LYNN MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
3101 N FLORIDA AVE, ALAMOGORDO, NM 88310-9713
(505) 434-0033
Mailing address
48 DERBYSHIRE RD, TULAROSA, NM 88352-9501
(505) 585-4998
(505) 585-4998
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2114
NM
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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