Individual
MISS KIMBERLY KAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111789
TX
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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