Individual
MS. KATHERINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-6932
Mailing address
6822 HASKELL DR, FAIRVIEW, PA 16415-2049
(814) 474-2070
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03838
OH
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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