Individual
BRIDGET MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3704 GORDON ST, OMAHA, NE 68105-3548
(712) 389-7578
Mailing address
3704 GORDON ST, OMAHA, NE 68105-3548
(712) 389-7578
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
089474
IA
Other
Enumeration date
05/02/2018
Last updated
06/10/2025
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