Individual
DANA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3200 NE 86TH AVE, VANCOUVER, WA 98662-7327
(360) 313-2535
Mailing address
5500 NW LINCOLN AVE, VANCOUVER, WA 98663-1543
(775) 343-6180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
311517
OR
225X00000X
Occupational Therapist
Primary
OT60775230
WA
Other
Enumeration date
07/29/2013
Last updated
04/18/2024
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