Individual
MS. JANET L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
124 WEST NASHVILLE STREET, PEMBROKE, KY 42266
(270) 475-4227
(270) 475-4173
Mailing address
196 BARKLEY CIR, CADIZ, KY 42211-9300
(270) 522-9473
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
AO626
KY
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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