Individual
MS. SARA MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
704 LONGMIRE RD STE 101, CONROE, TX 77304-1850
(936) 441-2500
Mailing address
23271 QUIET HOLLOW RD, MONTGOMERY, TX 77356-6431
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209735
TX
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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