Individual
MIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12000 TRADITIONS BLVD, BOWIE, MD 20720-3658
(240) 538-3200
Mailing address
2528 FIR WAY APT C, LEXINGTON PARK, MD 20653-2284
(240) 538-3200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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