Individual
MRS. MARQUETTA ROBIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6185 LORETTO RD, BARDSTOWN, KY 40004-9391
(606) 627-2109
Mailing address
6185 LORETTO RD, BARDSTOWN, KY 40004-9391
(606) 627-2109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
170847
KY
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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