Individual
CARRIE MALONE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3105 INDEPENDENCE DR STE 105, BIRMINGHAM, AL 35209-4111
(205) 803-2210
Mailing address
3105 INDEPENDENCE DR STE 105, BIRMINGHAM, AL 35209-4111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/28/2020
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