Individual
MS. LORRAINE MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
209 FIRST AVE, NEWTOWN SQUARE, PA 19073-4504
(484) 574-5392
Mailing address
209 FIRST AVE, NEWTOWN SQUARE, PA 19073-4504
(484) 574-5392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006189
PA
Other
Enumeration date
02/07/2010
Last updated
11/18/2025
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