Individual
MRS. RUTH ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
400 NORTH ST W, TENDER CARE, TAWAS CITY, MI 48763-9161
(989) 362-8645
(989) 362-4462
Mailing address
400 NORTH STREET, TENDER CARE, TAWAS CITY, MI 48763
(989) 362-8645
(989) 362-4462
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L2247921
MI
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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