Individual
EMILY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
104 ELIZABETH ST, ASHLAND CITY, TN 37015-1101
(615) 792-2070
Mailing address
104 ELIZABETH ST, ASHLAND CITY, TN 37015-1101
(615) 792-2070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5234
TN
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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