Individual
MICHELE K MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
901 GRANT ST, HARVARD, IL 60033-1821
(815) 943-2975
(815) 943-5470
Mailing address
901 GRANT ST, HARVARD, IL 60033-1821
(815) 943-2975
(815) 943-5470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-009055
IL
Other
Enumeration date
06/25/2010
Last updated
10/21/2013
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