Individual
EMILY RACHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 W 72ND ST, NEW YORK, NY 10023-3300
(212) 721-5220
Mailing address
4414 28TH AVE, 1F, ASTORIA, NY 11103-2194
(502) 345-1660
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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