Individual
KATHLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2140 ATLAS ST, COLUMBUS, OH 43228-9647
(614) 921-7090
Mailing address
567 PARK OVERLOOK DR, WORTHINGTON, OH 43085-3692
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00416
OH
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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