Individual
SEEMA MORENO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.T.R/L
Contact information
Practice address
375 MCDONOUGH RD, JACKSON, GA 30233-1509
(770) 775-4622
(770) 775-4132
Mailing address
375 MCDONOUGH RD, JACKSON, GA 30233-1509
(770) 775-4622
(770) 775-4132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002221
GA
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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