Individual
AMBER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IECE
Contact information
Practice address
2200 E PARRISH AVE, BLD E SUITE 104E, OWENSBORO, KY 42303-1449
(270) 316-8885
(270) 663-1303
Mailing address
716 CHRISTOPHER GREENUP DR, OWENSBORO, KY 42303-0631
(270) 663-1302
(270) 663-1303
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201129188
KY
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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