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Individual

KIMBERLY LYNNE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTRL

Contact information

Practice address
400 TOWER RD NE STE 140, MARIETTA, GA 30060-9412
(866) 483-5378
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
05835
MD
225X00000X
Occupational Therapist
Primary
OT003944
GA

Other

Enumeration date
03/20/2007
Last updated
03/25/2025
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