Individual
TAYLOR ELLEN PRENDERGAST-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15 CONCORD ROAD, LEE, NH 03861
(603) 609-5685
(866) 702-2502
Mailing address
PO BOX 1772, DOVER, NH 03821-1772
(207) 286-6832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10576
MA
225XP0200X
Pediatric Occupational Therapist
Primary
2020
NH
Other
Enumeration date
04/30/2012
Last updated
03/14/2022
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