Individual
MS. DEBORAH MARCELLA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9300 ONYX CT, FREDERICKSBURG, VA 22407-9329
(540) 898-8238
Mailing address
3380 FORT LYON DR, WOODBRIDGE, VA 22192-1010
(770) 881-0870
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
O131OO1848
VA
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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