Individual
ASHLEY MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3007 N SAGINAW RD, MIDLAND, MI 48640-4555
(989) 429-0583
Mailing address
2445 N HARRISON AVE, HARRISON, MI 48625-8326
(989) 429-0583
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009578
MI
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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