Individual
HEATHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 BOLEYN DR, COLORADO SPRINGS, CO 80920-5380
(970) 219-2901
Mailing address
2640 BOLEYN DR, COLORADO SPRINGS, CO 80920-5380
(970) 219-2901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT .0003122
CO
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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