Individual
MS. MADISON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3134
(719) 630-8000
Mailing address
730 E COSTILLA ST, COLORADO SPRINGS, CO 80903-3767
(207) 251-1531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0005513
CO
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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