Individual
MS. REBECCA LEE MOORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 CHATEAU TER, AMHERST, NY 14226-3927
(716) 839-1655
(716) 839-1656
Mailing address
25 CHATEAU TER, AMHERST, NY 14226-3927
(716) 839-1655
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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