Individual
THOMAS ANTHONY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 THOMPSON RD, CROSSVILLE, TN 38571-0755
(904) 806-5654
Mailing address
180 THOMPSON RD, CROSSVILLE, TN 38571-0755
(904) 806-5654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
117184
TX
225X00000X
Occupational Therapist
Primary
OT 16838
FL
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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