Individual
BAILEY NICHOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1500 AVENUE H, ELY, NV 89301-2615
(775) 289-3467
Mailing address
1500 AVE H, PHYSICAL AND OCCUPATIONAL THERAPY DEPT., ELY, NV 89301
(775) 289-3467
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2999
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2999
STATE OF NEVADA BOARD OF OCCUPATIONAL THERAPY
NV
01
—
473282
NATIONAL BOARD FOR CERTIFICATION OF OCCUPATIONAL THERAPY
—
Enumeration date
08/11/2022
Last updated
08/11/2022
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