Individual
HALEY DAVIS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1199 HAYES FOREST DR., WINSTON-SALEM, NC 27106
(336) 759-1044
Mailing address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8275
(843) 903-8300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6199
NC
Other
Enumeration date
06/20/2007
Last updated
10/31/2024
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