Individual
KRISTIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8017 DOGWOOD LN, MILAN, TN 38358-6805
(731) 686-8373
Mailing address
PO BOX 278, ATWOOD, TN 38220-0278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2889
TN
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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