Individual
KATELYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 PIKE ST, TEWKSBURY, MA 01876-2546
(978) 888-4421
Mailing address
158 PIKE ST, TEWKSBURY, MA 01876-2546
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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