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Individual

MRS. NICOLE MARIE MOES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTRL

Contact information

Practice address
3066 JOG RD, GREENACRES, FL 33467-2053
(561) 357-5883
(561) 357-5884
Mailing address
8613 BINGHAMTON AVE, BOYNTON BCH, FL 33436
(954) 818-5172

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT11229
FL

Other

Enumeration date
12/14/2005
Last updated
07/08/2007
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