Individual
ABBIE JEAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
28100 TORCH PKWY, WARRENVILLE, IL 60555-4026
(630) 413-5800
Mailing address
16601 N 75TH AVE UNIT 2002, PEORIA, AZ 85382-5029
(715) 401-1130
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047064
AZ
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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