Individual
MRS. KESHIA LATONYA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
(864) 241-6222
Mailing address
4 SADDLE BOW CT, TAYLORS, SC 29687-4089
(864) 395-0624
(864) 395-0624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3308
SC
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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