Individual
DANA MOORE ELLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
561 N POLK ST, PINEVILLE, NC 28134-8563
(704) 889-7828
Mailing address
561 N POLK ST, PINEVILLE, NC 28134-8563
(704) 889-7828
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6232
NC
Other
Enumeration date
07/01/2008
Last updated
11/17/2009
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