Individual
KATHERINE DIANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
708 IRVING ST, ALHAMBRA, CA 91801-3266
(626) 300-9065
Mailing address
153 S HAYWORTH AVE APT 207, LOS ANGELES, CA 90048-3624
(323) 327-7884
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13012
CA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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