Individual
OLIVIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1800 W STATE ST, FREMONT, OH 43420-1636
(419) 332-6709
Mailing address
1130 PERU CENTER RD N, MONROEVILLE, OH 44847-9593
(419) 706-7851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011567
OH
Other
Enumeration date
12/11/2021
Last updated
10/01/2024
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