Individual
MRS. LAURICE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
61 CORPORATE CIR, NEW CASTLE, DE 19720-2405
(302) 324-4444
Mailing address
212 LARCHMONT LN, WEST GROVE, PA 19390-8824
(302) 379-6576
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001966
DE
Other
Enumeration date
05/27/2014
Last updated
06/29/2020
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