Individual
COURTNEY D MORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10601 E 35TH TER S, INDEPENDENCE, MO 64052-1113
(816) 358-1955
Mailing address
3705 W SUGAR TREE LN, COLUMBIA, MO 65201-6530
(314) 853-7669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2007000641
MO
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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