Individual
MS. ALLENE LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3760 CONVOY ST STE 204, SAN DIEGO, CA 92111-3744
(530) 219-8097
Mailing address
3760 CONVOY ST STE 204, SAN DIEGO, CA 92111-3744
(530) 219-8097
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2166
CA
Other
Enumeration date
08/26/2012
Last updated
08/26/2012
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