Individual
EMILY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6731
(505) 823-4530
Mailing address
3901 MONTGOMERY BLVD NE APT 208, ALBUQUERQUE, NM 87109-1085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4686
NM
Other
Enumeration date
02/20/2023
Last updated
11/20/2023
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