Individual
KATHY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
120 HOSPITAL RD, SUITE 100, PRINCE FREDERICK, MD 20678-4022
(410) 535-8180
(410) 535-8325
Mailing address
8321 QUINEEVIEW LANE, OWINGS, MD 20736
(410) 257-5211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01320
MD
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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