Individual
EMILY NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
24 CHERRY ST, JOHNSON CITY, NY 13790-2615
(607) 723-8313
Mailing address
24 CHERRY ST, JOHNSON CITY, NY 13790-2615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029489
NY
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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