Individual
KRISTEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5723 GA-21, RINCON, GA, 31326, RINCON, GA 31326
(912) 667-6468
Mailing address
105 WIMBLEDON DR, SAVANNAH, GA 31419-9446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008567
GA
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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