Individual
MRS. AVIE B. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1071 EAGLERIDGE BLVD., PUEBLO, CO 81008
(719) 583-0832
(719) 583-0797
Mailing address
8540 SCARBOROUGH DR., SUITE 200, COLO SPRINGS, CO 80920
(719) 630-7500
(719) 630-8099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
234835
CO
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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